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WAL-MART PHARMACY 10-0983
CAH241369-00 UNITED HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
UNITED HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241369-00
Entity Address
515 S. MOORE
BLUE EARTH, MN 56013
Medicare Provider Number
241369
Participating Start Date
10/1/2011
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0983
Pharmacy Address
1210 GIANT DRIVE
BLUE EARTH, MN 56013
Pharmacy Comments
Contract Details
Approval Date
1/3/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/22/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
JEFFREY LANG, CEO
(507) 526-7907
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/3/2014
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