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Walmart Pharmacy 10-7611
SCH260094-00 COX MEDICAL CENTER BRANSON
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Covered Entity Details
Entity Name
COX MEDICAL CENTER BRANSON
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH260094-00
Entity Address
525 Branson Landing Blvd
Branson, MO 65616
Medicare Provider Number
260094
Participating Start Date
7/1/2022
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
1/12/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jake McWay, SVP - CFO
(417) 269-8811
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
1/12/2024
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