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WAL-MART PHARMACY 10-1947
CAH501328-00 Okanogan County Public Hospital District No. 3 Dba Mid-Valley Hospital
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Covered Entity Details
Entity Name
Okanogan County Public Hospital District No. 3 Dba Mid-Valley Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501328-00
Entity Address
810 Jasmine Street
Omak, WA 98841
Medicare Provider Number
501328
Participating Start Date
10/1/2013
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1947
Pharmacy Address
PO BOX 3606
902 ENGH RD
OMAK, WA 98841
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
Scot Attridge, CFO
(509) 826-1760
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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