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WAL-MART PHARMACY 10-0927
CAH451349-00 Swisher Memorial Healthcare System
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Covered Entity Details
Entity Name
Swisher Memorial Healthcare System
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451349-00
Entity Address
539 Southeast 2nd St
Tulia, TX 79088
Medicare Provider Number
451349
Participating Start Date
7/1/2013
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0927
Pharmacy Address
1501 NORTH I-27
PLAINVIEW, TX 79072
Pharmacy Comments
Contract Details
Approval Date
4/7/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ryan Barnard, CEO
(806) 995-8201
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/7/2015
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