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WAL-MART PHARMACY 10-2318
RRC390163-00 Armstrong County Memorial Hospital
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Covered Entity Details
Entity Name
Armstrong County Memorial Hospital
Subdivision Name
Type
Rural Referral Center
340B ID
RRC390163-00
Entity Address
One Nolte Drive
Kittanning, PA 16201
Medicare Provider Number
390163
Participating Start Date
4/1/2012
Last Recertification Date
8/24/2020
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2318
Pharmacy Address
3100 OAKLAND AVE
INDIANA, PA 15701
Pharmacy Comments
Contract Details
Approval Date
1/7/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/17/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Patrick C. Burns, VP of Finance & CFO
(724) 543-8618
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/7/2016
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