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WAL-MART PHARMACY 10-2772
CAH341327-00 J ARTHUR DOSHER MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
J ARTHUR DOSHER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341327-00
Entity Address
924 N HOWE ST
SOUTHPORT, NC 28461
Medicare Provider Number
341327
Participating Start Date
7/1/2011
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2772
Pharmacy Address
1675 NORTH HOWE STREET
SOUTHPORT, NC 28461
Pharmacy Comments
Contract Details
Approval Date
10/5/2012
Contract Begin Date
10/5/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DENNIS COFFEY, CFO
(910) 457-3912
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
9/20/2012
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