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WALMART PHARMACY 10-5169
CAH371336-00 NEWMAN MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
NEWMAN MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH371336-00
Entity Address
905 SOUTH MAIN STREET
SHATTUCK, OK 73858
Medicare Provider Number
371336
Participating Start Date
7/1/2020
Last Recertification Date
8/15/2024
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
Doran Wayne Hammett, CFO
(580) 938-5545
Contract Pharmacy Representative
Walmart
Christian Nava, Senior Manager, Program Development-340B
(210) 632-0647
Signed By Date
4/10/2025
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