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WAL-MART PHARMACY 10-0660
DSH010019 HH Health System Shoals - LLC dba HELEN KELLER HOSPITAL
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Covered Entity Details
Entity Name
HH Health System Shoals - LLC dba HELEN KELLER HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010019
Entity Address
1300 S. MONTGOMERY AVE.
SHEFFIELD, AL 35660
Medicare Provider Number
010019
Participating Start Date
4/1/2007
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0660
Pharmacy Address
301 AVALON AVE
MUSCLE SHOALS, AL 35661-2811
Pharmacy Comments
Contract Details
Approval Date
2/28/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/28/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MORRIS S. STRICKLAND, CFO
(256) 386-4553
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/25/2013
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