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Walmart Pharmacy 10-7611
CAH431321-00 MONUMENT HEALTH STURGIS HOSPITAL
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Covered Entity Details
Entity Name
MONUMENT HEALTH STURGIS HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431321-00
Entity Address
2140 Junction Ave.
STURGIS, SD 57785
Medicare Provider Number
431321
Participating Start Date
4/1/2011
Last Recertification Date
8/29/2024
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
Mark C Schmidt, President Custer LD-DWD Markets
(605) 717-2020
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting
(479) 277-3719
Signed By Date
10/12/2023
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