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WAL-MART PHARMACY 10-1217
CAH341326-00 Angel Medical Center
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Covered Entity Details
Entity Name
Angel Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341326-00
Entity Address
120 Riverview Street
Franklin, NC 28734
Medicare Provider Number
341326
Participating Start Date
7/1/2012
Last Recertification Date
9/7/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1217
Pharmacy Address
273 COMMONS DR.
FRANKLIN, NC 28734
Pharmacy Comments
Contract Details
Approval Date
7/14/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
James B. Bross, President
(828) 369-4232
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
7/14/2015
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