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WAL-MART PHARMACY 10-0834
CAH261312-00 HARRISON COUNTY COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
HARRISON COUNTY COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261312-00
Entity Address
2600 MILLER STREET
BETHANY, MO 64424
Medicare Provider Number
261312
Participating Start Date
9/28/2010
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0834
Pharmacy Address
810 SOUTH 37TH STREET
BETHANY, MO 64424
Pharmacy Comments
Contract Details
Approval Date
1/6/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Fairchild, CEO
(660) 425-0250 Ext: 250
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/6/2014
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