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WAL-MART PHARMACY 10-0230
CAH041300-00 MERCY HOSPITAL PARIS
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Covered Entity Details
Entity Name
MERCY HOSPITAL PARIS
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041300-00
Entity Address
500 EAST ACADEMY
PARIS, AR 72855
Medicare Provider Number
041300
Participating Start Date
7/1/2024
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0230
Pharmacy Address
1501 EAST WALNUT
P O BOX 629
PARIS, AR 72855
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sherry Clouse Day, VP Finance - Mercy CAH
(417) 820-8439
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting
(479) 277-3719
Signed By Date
7/15/2024
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