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WALMART PHARMACY 10-6576
CAH421304-00 Edgefield County Healthcare
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Covered Entity Details
Entity Name
Edgefield County Healthcare
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH421304-00
Entity Address
300 Ridge Medical Plaza
Edgefield, SC 29824
Medicare Provider Number
421304
Participating Start Date
7/1/2012
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-6576
Pharmacy Address
1041 EDGEFIELD ROAD
NORTH AUGUSTA, SC 29860
Pharmacy Comments
Contract Details
Approval Date
4/6/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/2/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Timothy M. Williams Sr., Administrator, Interim
(803) 637-1188
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/6/2015
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