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WAL-MART PHARMACY 10-3806
CAH241369-00 UNITED HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
UNITED HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241369-00
Entity Address
515 S. MOORE
BLUE EARTH, MN 56013
Medicare Provider Number
241369
Participating Start Date
10/1/2011
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3806
Pharmacy Address
1250 GOEMANN ROAD
FAIRMONT, MN 56031
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Ash, CEO
(507) 526-7907
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
1/12/2018
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