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WAL-MART PHARMACY 10-4322
CAH281354-02 CRETE AREA MEDICAL CENTER
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Covered Entity Details
Entity Name
CRETE AREA MEDICAL CENTER
Subdivision Name
WILBER MEDICAL CLINIC
Type
Critical Access Hospital
340B ID
CAH281354-02
Entity Address
203 WEST 4TH STREET
WILBER, NE 68465
Medicare Provider Number
281354
Outpatient Facility Provider Number
Participating Start Date
1/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-4322
Pharmacy Address
1800 EAST 29TH STREET
CRETE, NE 68333
Pharmacy Comments
Contract Details
Approval Date
1/7/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BRYCE K. BETKE, CFO
(402) 826-7945
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/7/2014
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