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WAL-MART PHARMACY 10-0369
CAH171383-00 William Newton Memorial Hospital
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Covered Entity Details
Entity Name
William Newton Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171383-00
Entity Address
1300 E. 5th
Winfield, KS 67156-2495
Medicare Provider Number
171383
Participating Start Date
10/29/2013
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0369
Pharmacy Address
2202 PIKE RD.
WINFIELD, KS 67156
Pharmacy Comments
Contract Details
Approval Date
7/14/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeffery Benjamin Quinton, CEO
(620) 221-2300 Ext: 101
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
7/14/2014
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