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WAL-MART PHARMACY 10-3632
CAH231330-00 Marlette Regional Hospital
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Covered Entity Details
Entity Name
Marlette Regional Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231330-00
Entity Address
2770 Main Street
Marlette, MI 48453-0307
Medicare Provider Number
231330
Participating Start Date
4/1/2012
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3632
Pharmacy Address
655 WEST SANILAC ROAD
SANDUSKY, MI 48471
Pharmacy Comments
Contract Details
Approval Date
10/14/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/10/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James L. Singles, CFO
(989) 635-4230
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/14/2016
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