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Walmart Pharmacy 10-7611
RRC330126-00 Garnet Health Medical Center
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Covered Entity Details
Entity Name
Garnet Health Medical Center
Subdivision Name
Type
Rural Referral Center
340B ID
RRC330126-00
Entity Address
707 E MAIN STREET
MIDDLETOWN, NY 10940-2650
Medicare Provider Number
330126
Participating Start Date
1/29/2021
Last Recertification Date
9/11/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
James Grigg, CFO
(845) 333-2306
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/15/2024
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