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Walmart Pharmacy 10-7611
SCH420038-00 Prisma Health Laurens County Hospital
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Covered Entity Details
Entity Name
Prisma Health Laurens County Hospital
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH420038-00
Entity Address
22725 HIGHWAY 76 EAST
CLINTON, SC 29325
Medicare Provider Number
420038
Participating Start Date
10/1/2015
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/18/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Justin Matthew Benfield, Chief Operations Executive
(864) 933-9150
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/18/2023
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