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WAL-MART PHARMACY 10-1648
CAH291306-00 Washoe Barton Medical Clinic DBA: Carson Valley Health
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Covered Entity Details
Entity Name
Washoe Barton Medical Clinic DBA: Carson Valley Health
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH291306-00
Entity Address
1107 Highway 395 North
GARDNERVILLE, NV 89410-7030
Medicare Provider Number
291306
Participating Start Date
1/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1648
Pharmacy Address
3770 NORTH HWY 395
CARSON CITY, NV 89705
Pharmacy Comments
Contract Details
Approval Date
4/16/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARCUS ARMSTRONG, CFO
(775) 782-1511
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/16/2013
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