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WALMART PHARMACY 10-5169
SCH450539-00 COVENANT HOSPITAL PLAINVIEW
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Covered Entity Details
Entity Name
COVENANT HOSPITAL PLAINVIEW
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450539-00
Entity Address
2601 DIMMITT ROAD
PLAINVIEW, TX 79072
Medicare Provider Number
450539
Participating Start Date
10/1/2013
Last Recertification Date
9/13/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
10/17/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer Bryan, CFO
(806) 296-4265
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/17/2023
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