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WAL-MART PHARMACY 10-1795
CAH341319-00 TRANSYLVANIA COMMUNITY HOSPITAL D/B/A TRANSYLVANIA REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
TRANSYLVANIA COMMUNITY HOSPITAL D/B/A TRANSYLVANIA REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341319-00
Entity Address
260 HOSPITAL DRIVE
BREVARD, NC 28712
Medicare Provider Number
341319
Participating Start Date
8/12/2010
Last Recertification Date
9/11/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1795
Pharmacy Address
177 FOREST GATE DR
PISGAH FOREST, NC 28768
Pharmacy Comments
Contract Details
Approval Date
7/28/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Marc Nakagawa, Regional Director, Finance
(828) 883-5350
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
7/28/2015
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