340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CAH151329-00 MARGARET MARY COMMUNITY HOSPITAL, INC.
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Covered Entity Details
Entity Name
MARGARET MARY COMMUNITY HOSPITAL, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH151329-00
Entity Address
321 MITCHELL AVE
BATESVILLE, IN 47006-0226
Medicare Provider Number
151329
Participating Start Date
9/28/2010
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brian Daeger, COO
(812) 933-5135
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
1/15/2024
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