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WAL-MART PHARMACY 10-0680
RRC440025-00 LAUGHLIN MEMORIAL HOSPITAL, INC.
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Covered Entity Details
Entity Name
LAUGHLIN MEMORIAL HOSPITAL, INC.
Subdivision Name
Type
Rural Referral Center
340B ID
RRC440025-00
Entity Address
1420 TUSCULUM BLVD.
GREENEVILLE, TN 37745-5825
Medicare Provider Number
440025
Participating Start Date
4/1/2013
Last Recertification Date
8/16/2016
Entity Termination Date
1/1/2018
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0680
Pharmacy Address
3755 E. ANDREW JOHNSON HWY
GREENVILLE, TN 37745
Pharmacy Comments
Contract Details
Approval Date
10/2/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/22/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JOHN MARK COMPTON, CFO
(423) 787-5077
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/2/2014
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