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WALKER DRUG CO
CAH461302-00 Moab Valley Healthcare, Inc.
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Covered Entity Details
Entity Name
Moab Valley Healthcare, Inc.
Subdivision Name
dba Moab Regional Hospital
Type
Critical Access Hospital
340B ID
CAH461302-00
Entity Address
450 W. Williams Way
Moab, UT 84532
Medicare Provider Number
461302
Participating Start Date
4/1/2013
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WALKER DRUG CO
Pharmacy Address
290 S MAIN ST
MOAB, UT 84532-2509
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Craig Daniels, CFO
(435) 719-3503
Contract Pharmacy Representative
Walker Drug
Patty Walker, Pharmacy Manager
(435) 259-5959
Signed By Date
1/17/2017
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