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WAL-MART PHARMACY 10-2810
CAH511303-00 Minnie Hamilton Health Care Center, INC
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Covered Entity Details
Entity Name
Minnie Hamilton Health Care Center, INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511303-00
Entity Address
186 Hospital Dr
Grantsville, WV 26147-7100
Medicare Provider Number
511303
Participating Start Date
4/1/2014
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2810
Pharmacy Address
97 WILLIAMS DRIVE
SPENCER, WV 25276
Pharmacy Comments
Contract Details
Approval Date
1/8/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephen S. Whited, CEO
(304) 354-9244 Ext: 1163
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/8/2016
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