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Walmart Pharmacy 10-7611
CAH241327-00 SLEEPY EYE MUNICIPAL HOSPITAL
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Covered Entity Details
Entity Name
SLEEPY EYE MUNICIPAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241327-00
Entity Address
400 FOURTH AVENUE NORTHWEST
SLEEPY EYE, MN 56085
Medicare Provider Number
241327
Participating Start Date
4/1/2017
Last Recertification Date
9/3/2024
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
Kevin Sellheim, Hospital Administrator
(507) 794-3571 Ext: 3005
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/16/2023
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