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WALMART PHARMACY 10-5169
SCH330008-00 WYOMING COUNTY COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
WYOMING COUNTY COMMUNITY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH330008-00
Entity Address
400 NORTH MAIN STREET
WARSAW, NY 14569
Medicare Provider Number
330008
Participating Start Date
1/1/2024
Last Recertification Date
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mark Wright, Chief Financial Officer
(585) 786-8940
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/11/2024
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