340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

WAL-MART PHARMACY 10-5997
CAH031304-00 Page Hospital

Covered Entity Details

Critical Access Hospital
CAH031304-00
501 North Navajo
Page, AZ 86040
031304
4/1/2012
8/20/2024


Pharmacy Details

9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837

Contract Details

1/21/2015
4/1/2015

4/15/2016
Business decision by covered entity and/or pharmacy


Contacts


Sandy Haryasz, CEO
(928) 645-0115



Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
1/21/2015