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WAL-MART PHARMACY 10-0173
CAH261308-00 Washington County Memorial Hospital
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Covered Entity Details
Entity Name
Washington County Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261308-00
Entity Address
300 Health Way
Potosi, MO 63664
Medicare Provider Number
261308
Participating Start Date
4/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0173
Pharmacy Address
#1 MEMORIAL DR
POTOSI, MO 63664
Pharmacy Comments
Contract Details
Approval Date
1/20/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leah A. Osbahr, Administrator
(573) 438-5451
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/20/2014
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