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WALMART PHARMACY 10-5169
CAH101307-00 Holmes County Hospital Corp d/b/a Doctors Memorial Hospital
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Covered Entity Details
Entity Name
Holmes County Hospital Corp d/b/a Doctors Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH101307-00
Entity Address
2600 Hospital Drive
Bonifay, FL 32425-4264
Medicare Provider Number
101307
Participating Start Date
1/1/2014
Last Recertification Date
9/16/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
4/10/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JoAnn Baker, Administrator
(850) 547-8001
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/10/2025
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