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Walmart Pharmacy 10-7611
CAH241366-00 MEEKER MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
MEEKER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241366-00
Entity Address
612 SOUTH SIBLEY AVENUE
LITCHFIELD, MN 55355
Medicare Provider Number
241366
Participating Start Date
10/1/2011
Last Recertification Date
9/1/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nicole Siegner, Chief Finance Officer
(320) 693-4512
Contract Pharmacy Representative
Meeker Memorial Hospital
Brent Kosel, Pharmacy Director
(320) 693-4500 Ext: 4539
Signed By Date
10/15/2024
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