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Walmart Pharmacy 10-7611
CAH261325-00 Cox Barton County Hospital
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Covered Entity Details
Entity Name
Cox Barton County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261325-00
Entity Address
29 NW 1st Lane
Lamar, MO 64759-8105
Medicare Provider Number
261325
Participating Start Date
4/1/2012
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
1/12/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Wyatt, President
(417) 681-5108
Contract Pharmacy Representative
Walmart
Vann Donn, contracting
(479) 202-7198
Signed By Date
1/12/2024
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