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Walmart Pharmacy 10-7611
SCH450539-00 COVENANT HOSPITAL PLAINVIEW
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Covered Entity Details
Entity Name
COVENANT HOSPITAL PLAINVIEW
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450539-00
Entity Address
2601 DIMMITT ROAD
PLAINVIEW, TX 79072
Medicare Provider Number
450539
Participating Start Date
10/1/2013
Last Recertification Date
9/13/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
1/26/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer Bryan, CFO
(806) 296-4265
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
1/26/2024
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