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WAL-MART PHARMACY 10-1937
SCH360109-00 COSHOCTON CTY MEM HOSP
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Covered Entity Details
Entity Name
COSHOCTON CTY MEM HOSP
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH360109-00
Entity Address
1460 ORANGE STREET
COSHOCTON, OH 43812-2229
Medicare Provider Number
360109
Participating Start Date
10/1/2017
Last Recertification Date
11/7/2017
Entity Termination Date
10/1/2018
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1937
Pharmacy Address
23605 AIRPORT RD
COSHOCTON, OH 43812
Pharmacy Comments
Contract Details
Approval Date
4/18/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Scott Silvestri, CFO
(740) 623-4144
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
4/18/2014
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