340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1738
SCH240187-04 HUTCHINSON HEALTH CARE
Print
Covered Entity Details
Entity Name
HUTCHINSON HEALTH CARE
Subdivision Name
Hutchinson Health Mental Health Clinic
Type
Sole Community Hospital
340B ID
SCH240187-04
Entity Address
1071 Highway 15 South
Hutchinson, MN 55350
Medicare Provider Number
240187
Outpatient Facility Provider Number
Participating Start Date
1/1/2015
Last Recertification Date
9/1/2015
Entity Termination Date
7/1/2016
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1738
Pharmacy Address
1300 TRUNK HWY. 15 SOUTH
HUTCHINSON, MN 55350
Pharmacy Comments
Contract Details
Approval Date
1/19/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/27/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Pamela J. Larson, CFO
(320) 484-4472
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
1/19/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session