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WAL-MART PHARMACY 10-2178
CAH201305-00 Calais Community Hospital
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Covered Entity Details
Entity Name
Calais Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201305-00
Entity Address
24 HOSPITAL LANE
CALAIS, ME 04619
Medicare Provider Number
201305
Participating Start Date
9/28/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2178
Pharmacy Address
379 SOUTH STREET
CALAIS, ME 04619
Pharmacy Comments
Contract Details
Approval Date
1/15/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MICHAEL LALLY, CHIEF EXECUTIVE OFFICER
(207) 454-7521 Ext: 132
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/15/2014
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