340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CAH361314-00 H. B. MAGRUDER MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
H. B. MAGRUDER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361314-00
Entity Address
615 FULTON STREET
PORT CLINTON, OH 43452
Medicare Provider Number
361314
Participating Start Date
9/23/2010
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
NICHOLAS MARSICO, CEO and PRESIDENT
(419) 734-3131
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/12/2023
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