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WAL-MART PHARMACY 10-2135
CAH331311-00 Little Falls Hospital
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Covered Entity Details
Entity Name
Little Falls Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331311-00
Entity Address
140 Burwell Street
Little Falls, NY 13365
Medicare Provider Number
331311
Participating Start Date
2/13/2013
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2135
Pharmacy Address
139 MERCHANT PLACE
COBLESKILL, NY 12043
Pharmacy Comments
Contract Details
Approval Date
10/10/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Guy DiStefano, VP of Financial Operations
(607) 547-3692
Contract Pharmacy Representative
Wal-mart
Laura Levine, Manager Contracting
(479) 204-8550
Signed By Date
10/10/2023
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