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WAL-MART PHARMACY 10-3384
DSH450155 DEAF SMITH COUNTY HOSPITAL DISTRICT DBA HEREFORD REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
DEAF SMITH COUNTY HOSPITAL DISTRICT DBA HEREFORD REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450155
Entity Address
540 West 15th Street
HEREFORD, TX 79045
Medicare Provider Number
450155
Participating Start Date
10/1/2004
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3384
Pharmacy Address
300 WEST 15TH STREET
HEREFORD, TX 79045
Pharmacy Comments
Contract Details
Approval Date
2/27/2012
Contract Begin Date
2/27/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GREG REINART, CFO
(806) 364-2141
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
2/22/2012
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