340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CAH451384-00 D.M. COGDELL MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
D.M. COGDELL MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451384-00
Entity Address
1700 COGDELL BLVD
SNYDER, TX 79549
Medicare Provider Number
451384
Participating Start Date
10/1/2016
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
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
John H. Everett, COO
(325) 574-7439
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/10/2023
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