340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CAH261329-00 COX MONETT HOSPITAL, INC.
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Covered Entity Details
Entity Name
COX MONETT HOSPITAL, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261329-00
Entity Address
1000 E HWY 60
MONETT, MO 65708
Medicare Provider Number
261329
Participating Start Date
1/1/2011
Last Recertification Date
8/19/2024
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
Andrea McKay, President Cox Monett-System VP
(417) 354-1407
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
1/12/2024
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