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WAL-MART PHARMACY 10-0796
CAH141337-00 OSF Saint Clare Medical Center
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Covered Entity Details
Entity Name
OSF Saint Clare Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141337-00
Entity Address
530 Park Ave East
Princeton, IL 61356
Medicare Provider Number
141337
Participating Start Date
1/1/2013
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0796
Pharmacy Address
5307 RT. 251
PERU, IL 61354
Pharmacy Comments
Contract Details
Approval Date
4/5/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/14/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Annette Schnabel, President & CEO
(815) 876-2236
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/5/2018
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