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WAL-MART PHARMACY 10-2115
CAH361311-00 HARRISON COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
HARRISON COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361311-00
Entity Address
951 EAST MARKET STREET
CADIZ, OH 43907-9749
Medicare Provider Number
361311
Participating Start Date
9/14/2010
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2115
Pharmacy Address
231 BLUEBELL DR NW.
NEW PHILADELPHIA, OH 44663
Pharmacy Comments
Contract Details
Approval Date
7/7/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2016
Agreement registered in error
Contacts
Covered Entity Signing Official
Clifford K. Harmon, Chief Executive Officer
(740) 942-4631
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/7/2016
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