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Walmart Pharmacy 10-7611
CAH171317-00 EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
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Covered Entity Details
Entity Name
EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171317-00
Entity Address
620 W 8TH STREET
KINSLEY, KS 67547
Medicare Provider Number
171317
Participating Start Date
4/1/2013
Last Recertification Date
8/23/2024
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
Contract Termination Date
Termination Reason
2/9/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jimmie Hansel, CEO
(620) 255-1611
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/16/2023
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