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WAL-MART PHARMACY 10-1548
CAH141317-00 GIBSON COMMUNITY HOSPITAL DBA GIBSON AREA HOSPITAL AND HEALTH SERVICES
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Covered Entity Details
Entity Name
GIBSON COMMUNITY HOSPITAL DBA GIBSON AREA HOSPITAL AND HEALTH SERVICES
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141317-00
Entity Address
1120 N MELVIN
GIBSON CITY, IL 60936
Medicare Provider Number
141317
Participating Start Date
7/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1548
Pharmacy Address
1790 EAST WALNUT STREET
WATSEKA, IL 60970
Pharmacy Comments
Contract Details
Approval Date
7/26/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Harry Groom, Director of Finance
(217) 784-2615 Ext: 2726
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/26/2017
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