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WAL-MART PHARMACY 10-2681
CAH301302-00 LITTLETON REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
LITTLETON REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301302-00
Entity Address
600 ST. JOHNSBURY ROAD
LITTLETON, NH 03561
Medicare Provider Number
301302
Participating Start Date
4/1/2011
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2681
Pharmacy Address
615 MEADOW STREET
LITTLETON, NH 03561
Pharmacy Comments
Contract Details
Approval Date
4/8/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Warren West, CHIEF EXECUTIVE OFFICER
(603) 444-9598
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/8/2014
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