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WAL-MART PHARMACY 10-0782
DSH450177 UVALDE COUNTY HOSPITAL AUTHORITY DBA UVALDE MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
UVALDE COUNTY HOSPITAL AUTHORITY DBA UVALDE MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450177
Entity Address
1025 GARNER FIELD ROAD
UVALDE, TX 78801
Medicare Provider Number
450177
Participating Start Date
1/1/2005
Last Recertification Date
8/24/2016
Entity Termination Date
1/1/2018
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0782
Pharmacy Address
3100 EAST MAIN
UVALDE, TX 78801
Pharmacy Comments
Contract Details
Approval Date
4/14/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Valerie J. Lopez, Chief Financial Officer
(830) 278-6251 Ext: 1173
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/14/2017
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