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WAL-MART PHARMACY 10-1190
CAH181329-00 SAINT JOSEPH BEREA HOSPITAL
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Covered Entity Details
Entity Name
SAINT JOSEPH BEREA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181329-00
Entity Address
305 ESTILL STREET
BEREA, KY 40403
Medicare Provider Number
181329
Participating Start Date
9/30/2010
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1190
Pharmacy Address
120 JILL DRIVE
BEREA, KY 40403
Pharmacy Comments
Contract Details
Approval Date
10/17/2012
Contract Begin Date
10/17/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Greg Gerard, President
(859) 986-6311
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/15/2012
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