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WAL-MART PHARMACY 10-1059
CAH251323-00 SCOTT REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
SCOTT REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251323-00
Entity Address
317 HIGHWAY 13 SOUTH
MORTON, MS 39117
Medicare Provider Number
251323
Participating Start Date
1/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1059
Pharmacy Address
1309 HWY 35 SO
FOREST, MS 39074
Pharmacy Comments
Contract Details
Approval Date
8/29/2012
Contract Begin Date
8/29/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Chuck Reece, COO
(601) 483-0011
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
8/15/2012
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