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WAL-MART PHARMACY 10-1870
CAH501327-00 Whitman Hospital and Medical Center
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Covered Entity Details
Entity Name
Whitman Hospital and Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501327-00
Entity Address
1200 West Fairview
Colfax, WA 99111
Medicare Provider Number
501327
Participating Start Date
7/1/2012
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1870
Pharmacy Address
1690 SE HARVEST DR
PULLMAN, WA 99163
Pharmacy Comments
Contract Details
Approval Date
10/14/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jim Heilsberg, CFO
(509) 397-3435 Ext: 312
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
10/14/2014
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