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WAL-MART PHARMACY 10-0799
CAH171321-00 MEADE DISTRICT HOSPITAL
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Covered Entity Details
Entity Name
MEADE DISTRICT HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171321-00
Entity Address
510 E. CARTHAGE
MEADE, KS 67864-0820
Medicare Provider Number
171321
Participating Start Date
3/21/2023
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0799
Pharmacy Address
250 EAST TUCKER ROAD
LIBERAL, KS 67901
Pharmacy Comments
Contract Details
Approval Date
1/19/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Stephen Stewart, Chief Executive Officer
(620) 873-2141 Ext: 500
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/19/2017
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