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WAL-MART PHARMACY 10-0624
SCH420053-00 NEWBERRY COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
NEWBERRY COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH420053-00
Entity Address
2669 KINARD ST
NEWBERRY, SC 29108
Medicare Provider Number
420053
Participating Start Date
10/1/2011
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0624
Pharmacy Address
2812 MAIN STREET
NEWBERRY, SC 29108
Pharmacy Comments
Contract Details
Approval Date
11/15/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/28/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MIKE REYNOLDS, CHIEF FINANCIAL OFFICER
(803) 405-7469
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/24/2012
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