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WAL-MART PHARMACY 10-0250
CHC24137-00 Ozarks Resource Group
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Covered Entity Details
Entity Name
Ozarks Resource Group
Subdivision Name
OCHC - Hermitage Medical Center
Type
HRSA-Funded Health Center
340B ID
CHC24137-00
Entity Address
18614 Jackson St.
Hermitage, MO 65668-0021
Grant Number
H80CS24137
Participating Start Date
7/1/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0250
Pharmacy Address
103 W POLK ST
WARSAW, MO 65355
Pharmacy Comments
Contract Details
Approval Date
1/15/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott Crouch, CEO
(417) 745-2121
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/15/2014
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