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WAL-MART PHARMACY 10-0296
SCH040011-00 CHAMBERS MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CHAMBERS MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH040011-00
Entity Address
719 DETROIT STREET
DANVILLE, AR 72833
Medicare Provider Number
040011
Participating Start Date
10/1/2014
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0296
Pharmacy Address
1172 NO. HWY 7
DARDANELLE, AR 72834
Pharmacy Comments
Contract Details
Approval Date
1/15/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott Peek, CEO
(479) 495-6218
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
1/15/2015
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