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WAL-MART PHARMACY 10-2833
CAH511307-00 GRAFTON CITY HOSPITAL
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Covered Entity Details
Entity Name
GRAFTON CITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511307-00
Entity Address
1 Hospital Plaza
GRAFTON, WV 26354
Medicare Provider Number
511307
Participating Start Date
7/1/2011
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2833
Pharmacy Address
1 WAL-MART LANE
GRAFTON, WV 26354
Pharmacy Comments
Contract Details
Approval Date
1/10/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Patrick D. Shaw, CEO
(304) 265-7152
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/10/2014
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