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WALMART PHARMACY 10-5169
CAH231329-00 CARO COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
CARO COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231329-00
Entity Address
401 N HOOPER ST
CARO, MI 48723
Medicare Provider Number
231329
Participating Start Date
4/21/2021
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/6/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Matt Rick, Chief Operating Officer
(989) 894-3838
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/13/2023
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