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Walmart Pharmacy 10-7611
CAH241367-00 Welia Health
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Covered Entity Details
Entity Name
Welia Health
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241367-00
Entity Address
301 Hwy 65 S
Mora, MN 55051
Medicare Provider Number
241367
Participating Start Date
10/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
1/3/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Randy William Ulseth, CEO
(320) 225-3315
Contract Pharmacy Representative
Welia Health
Joe Dvorak, Director of Pharmacy
(320) 225-3592
Signed By Date
1/3/2024
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