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Walmart Pharmacy 10-7611
CAH191306-00 WEST FELICIANA PARISH HOSPITAL
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Covered Entity Details
Entity Name
WEST FELICIANA PARISH HOSPITAL
Subdivision Name
A POLITICAL SUBDIVISION OF THE PARISH OF WEST FELICIANA PARISH
Type
Critical Access Hospital
340B ID
CAH191306-00
Entity Address
5266 COMMERCE STREET
SAINT FRANCISVILLE, LA 70775
Medicare Provider Number
191306
Participating Start Date
10/1/2018
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/30/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ledoux Chastant, CEO
(225) 635-2441
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/30/2023
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