340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CAH451354-00 OLNEY HAMILTON HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
OLNEY HAMILTON HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451354-00
Entity Address
901 WEST HAMILTON STREET
OLNEY, TX 76374
Medicare Provider Number
451354
Participating Start Date
9/14/2010
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
1/10/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MICHAEL HUFF, ADMINISTRATOR
(940) 564-5521
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/10/2024
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