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WAL-MART PHARMACY 10-4389
CAH301301-00 COTTAGE HOSPITAL
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Covered Entity Details
Entity Name
COTTAGE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301301-00
Entity Address
90 SWIFTWATER ROAD
WOODSVILLE, NH 03785
Medicare Provider Number
301301
Participating Start Date
9/14/2010
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-4389
Pharmacy Address
WAL-MART STORES EAST, LP
4901 DARTMOUTH COLLEGE HWY
WOODSVILLE, NH 03785
Pharmacy Comments
Contract Details
Approval Date
7/12/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARIA RYAN, CEO
(603) 747-9244
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
7/12/2016
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