340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0338
CAH261325-00 Cox Barton County Hospital
Print
Covered Entity Details
Entity Name
Cox Barton County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261325-00
Entity Address
29 NW 1st Lane
Lamar, MO 64759-8105
Medicare Provider Number
261325
Participating Start Date
4/1/2012
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0338
Pharmacy Address
29 SOUTHWEST FIRST LN
LAMAR, MO 64759
Pharmacy Comments
Contract Details
Approval Date
4/15/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Wendy Duvall, CEO
(417) 681-5105
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/15/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session