340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CAH141320-00 HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC. (DBA Paris Community Hospital)
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Covered Entity Details
Entity Name
HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC. (DBA Paris Community Hospital)
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141320-00
Entity Address
721 EAST COURT STREET
PARIS, IL 61944
Medicare Provider Number
141320
Participating Start Date
4/1/2011
Last Recertification Date
8/22/2024
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
9/10/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Oliver M. Smith, President & CEO
(217) 465-4141 Ext: 4218
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/16/2023
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