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WAL-MART PHARMACY 10-2684
SCH510072-00 WETZEL COUNTY HOSPITAL
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Covered Entity Details
Entity Name
WETZEL COUNTY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH510072-00
Entity Address
3 EAST BENJAMIN DRIVE
NEW MARTINSVILLE, WV 26155
Medicare Provider Number
510072
Participating Start Date
7/1/2017
Last Recertification Date
Entity Termination Date
1/1/2018
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2684
Pharmacy Address
1142 SO. BRIDGE STREET
NEW MARTINSVILLE, WV 26155
Pharmacy Comments
Contract Details
Approval Date
4/18/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Brian K. Felici, CEO
(304) 455-8111
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/18/2017
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