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WAL-MART PHARMACY 10-2758
CAH301311-00 SPEARE MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
SPEARE MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301311-00
Entity Address
16 HOSPITAL ROAD
PLYMOUTH, NH 03264
Medicare Provider Number
301311
Participating Start Date
9/30/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2758
Pharmacy Address
683 TENNY MOUNTAIN HIGHWAY
PLYMOUTH, NH 03264
Pharmacy Comments
Contract Details
Approval Date
1/17/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MICHELLE MCEWEN, PRESIDENT SPEARE MEMORIAL HOSPITAL
(603) 238-2230
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/17/2014
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