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WAL-MART PHARMACY 10-0981
CAH251322-00 LAIRD HOSPITAL, INC.
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Covered Entity Details
Entity Name
LAIRD HOSPITAL, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251322-00
Entity Address
25117 HWY 15 BYPASS
UNION, MS 39365
Medicare Provider Number
251322
Participating Start Date
1/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0981
Pharmacy Address
1733 SECOND ST SOUTH
MERIDIAN, MS 39301
Pharmacy Comments
Contract Details
Approval Date
3/13/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
THOMAS BARTLETT, HOSPITAL ADMINISTRATOR
(601) 774-8214 Ext: 1500
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/29/2013
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