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WAL-MART PHARMACY 10-1858
CAH241341-00 Appleton Area Health
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Covered Entity Details
Entity Name
Appleton Area Health
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241341-00
Entity Address
30 South Behl Street
Appleton, MN 56208
Medicare Provider Number
241341
Participating Start Date
10/1/2013
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1858
Pharmacy Address
3001 EAST HWY 7, STE 100
MONTEVIDEO, MN 56265
Pharmacy Comments
Contract Details
Approval Date
1/9/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nathan Brovold, Director of Nursing
(320) 289-8501
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/9/2018
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