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Walmart Pharmacy 10-7611
CAH171379-00 MORRIS COUNTY HOSPITAL
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Covered Entity Details
Entity Name
MORRIS COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171379-00
Entity Address
600 N. WASHINGTON STREET
COUNCIL GROVE, KS 66846
Medicare Provider Number
171379
Participating Start Date
9/30/2010
Last Recertification Date
8/19/2024
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
5/22/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RON CHRISTENSON, CHIEF FINANCIAL OFFICER
(620) 767-6811 Ext: 120
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/16/2023
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