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Walmart Pharmacy 10-7611
SCH390056-00 PENN HIGHLANDS HUNTINGDON
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Covered Entity Details
Entity Name
PENN HIGHLANDS HUNTINGDON
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH390056-00
Entity Address
1225 WARM SPRINGS AVENUE
HUNTINGDON, PA 16652-2350
Medicare Provider Number
390056
Participating Start Date
7/21/2021
Last Recertification Date
8/15/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/9/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Joseph Myers, President
(814) 935-7149
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/9/2023
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