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Walmart Pharmacy 10-7611
DSH450082A CHRISTUS SPOHN HOSPITAL BEEVILLE
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Covered Entity Details
Entity Name
CHRISTUS SPOHN HOSPITAL BEEVILLE
Subdivision Name
CHRISTUS Spohn Medical Clinic
Type
Disproportionate Share Hospital
340B ID
DSH450082A
Entity Address
1602 E Houston St., Suite B
Beeville, TX 78102-5324
Medicare Provider Number
450082
Outpatient Facility Provider Number
458771
Participating Start Date
7/1/2012
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Becky Rios, CFO
(361) 881-3157
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/16/2023
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