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WAL-MART PHARMACY 10-2270
SCH060013-00 Mercy Regional Medical Center
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Covered Entity Details
Entity Name
Mercy Regional Medical Center
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH060013-00
Entity Address
1010 Three Springs Blvd
Durango, CO 81301
Medicare Provider Number
060013
Participating Start Date
10/1/2013
Last Recertification Date
9/3/2019
Entity Termination Date
1/1/2020
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2270
Pharmacy Address
1155 SOUTH CAMINO DEL RIO
DURANGO, CO 81303
Pharmacy Comments
Contract Details
Approval Date
7/20/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/16/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jane Strobel, Chief Financial Officer
(970) 764-3909
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
7/20/2015
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