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WAL-MART STORES EAST, LP
CAH301312-00 HUGGINS HOSPITAL
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Covered Entity Details
Entity Name
HUGGINS HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301312-00
Entity Address
240 SOUTH MAIN STREET
WOLFEBORO, NH 03894-0912
Medicare Provider Number
301312
Participating Start Date
9/29/2010
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
WAL-MART STORES EAST, LP
Pharmacy Address
DBA WALMART PHARMACY 10-2639
1458 LAKE SHORE ROAD
GILFORD, NH 03249
Pharmacy Comments
Contract Details
Approval Date
1/8/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jeremy Roberge, CEO
(603) 569-7507
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/8/2018
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