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WAL-MART PHARMACY 10-0790
CAH281340-00 DUNDY COUNTY HOSPITAL
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Covered Entity Details
Entity Name
DUNDY COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281340-00
Entity Address
1313 N CHEYENNE ST
BENKELMAN, NE 69021-3074
Medicare Provider Number
281340
Participating Start Date
1/1/2016
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0790
Pharmacy Address
1902 WEST "B"
MCCOOK, NE 69001
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/15/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rita Jones, Hospital CEO
(308) 423-2204 Ext: 2200
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/15/2016
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