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WAL-MART PHARMACY 10-2664
SCH390199-00 PUNXSUTAWNEY AREA HOSPITAL
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Covered Entity Details
Entity Name
PUNXSUTAWNEY AREA HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH390199-00
Entity Address
81 HILLCREST DRIVE
PUNXSUTAWNEY, PA 15767
Medicare Provider Number
390199
Participating Start Date
4/1/2015
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2664
Pharmacy Address
21920 ROUTE #119
PUNXSUTAWNEY, PA 15767
Pharmacy Comments
Contract Details
Approval Date
4/8/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jack Sisk, President
(814) 938-1882
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/8/2025
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