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WAL-MART PHARMACY 10-4246
CAH241354-00 Astera Health
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Covered Entity Details
Entity Name
Astera Health
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241354-00
Entity Address
421 11th Street NW
Wadena, MN 56482
Medicare Provider Number
241354
Participating Start Date
1/1/2012
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-4246
Pharmacy Address
100 JUNIPER AVENUE NW
WADENA, MN 56482
Pharmacy Comments
Contract Details
Approval Date
10/13/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joel Beiswenger, CEO
(218) 631-7489
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
10/13/2014
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