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WAL-MART PHARMACY 10-0503
SCH450370-00 COLUMBUS COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
COLUMBUS COMMUNITY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450370-00
Entity Address
110 SHULT DRIVE
COLUMBUS, TX 78934
Medicare Provider Number
450370
Participating Start Date
1/1/2015
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0503
Pharmacy Address
PO BOX 388
2103 MILAM ST
COLUMBUS, TX 78934
Pharmacy Comments
Contract Details
Approval Date
11/10/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rob Thomas, CEO
(979) 493-7561
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
11/10/2014
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