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WAL-MART PHARMACY 10-1468
CAH251304-00 TALLAHATCHIE GENERAL HOSPITAL
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Covered Entity Details
Entity Name
TALLAHATCHIE GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251304-00
Entity Address
141 Dr. T.T. Lewis Circle
CHARLESTON, MS 38921
Medicare Provider Number
251304
Participating Start Date
4/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1468
Pharmacy Address
205 HOUSE-CARLSON DRIVE
BATESVILLE, MS 38606
Pharmacy Comments
Contract Details
Approval Date
10/10/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James D. Blackwood, CEO
(662) 625-5535
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/10/2024
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