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WALMART PHARMACY 10-4577
CAH191326-00 REEVES MEMORIAL MEDICAL CENTER
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Covered Entity Details
Entity Name
REEVES MEMORIAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH191326-00
Entity Address
409 FIRST ST.
BERNICE, LA 71222
Medicare Provider Number
191326
Participating Start Date
1/1/2018
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-4577
Pharmacy Address
321 W CALIFORNIA AVE
RUSTON, LA 71270
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
David Matthew Caston, CEO
(318) 285-7762
Contract Pharmacy Representative
Walmart
Christian Nava, Senior Manager, Program Development-340B
(210) 632-0647
Signed By Date
4/10/2025
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