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WAL-MART PHARMACY 10-1025
CAH251330-00 FRANKLIN COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
FRANKLIN COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251330-00
Entity Address
40 UNION CHURCH RD
MEADVILLE, MS 39653
Medicare Provider Number
251330
Participating Start Date
4/1/2014
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1025
Pharmacy Address
1608 VETERANS BLVD
MCCOMB, MS 39648
Pharmacy Comments
Contract Details
Approval Date
1/11/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/12/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mike Boleware, Administrator
(601) 384-8126
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/11/2018
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