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WAL-MART PHARMACY 10-0127
DSH040076 Baptist Health Medical Center - Hot Spring County
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Covered Entity Details
Entity Name
Baptist Health Medical Center - Hot Spring County
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040076
Entity Address
1001 SCHNEIDER DRIVE
MALVERN, AR 72104
Medicare Provider Number
040076
Participating Start Date
10/1/2015
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0127
Pharmacy Address
1910 MARTIN LUTHER KING BLVD
MALVERN, AR 72104
Pharmacy Comments
Contract Details
Approval Date
10/14/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/8/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sheila Williams, Administrator
(501) 332-1002
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/14/2015
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