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WALMART PHARMACY 10-5791
CAH171376-00 Hospital District #1 of Crawford County Kansas
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Covered Entity Details
Entity Name
Hospital District #1 of Crawford County Kansas
Subdivision Name
Girard Medical Center
Type
Critical Access Hospital
340B ID
CAH171376-00
Entity Address
302 North Hospital Drive
Girard, KS 66743
Medicare Provider Number
171376
Participating Start Date
10/1/2012
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5791
Pharmacy Address
1011 E CENTENNIAL DRIVE
PITTSBURG, KS 66762
Pharmacy Comments
Contract Details
Approval Date
4/14/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael E. Payne, CEO
(620) 724-8291 Ext: 243
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/14/2016
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