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WAL-MART PHARMACY 10-1379
DSH340107 East Carolina Health-Heritage, Inc. d/b/a ECU Health Edgecombe Hospital
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Covered Entity Details
Entity Name
East Carolina Health-Heritage, Inc. d/b/a ECU Health Edgecombe Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340107
Entity Address
111 HOSPITAL DRIVE
TARBORO, NC 27886
Medicare Provider Number
340107
Participating Start Date
7/1/2003
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1379
Pharmacy Address
210 GREENVILLE BLVD., S.W.
GREENVILLE, NC 27834
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Charles Alford, VP - Financial Services
(252) 641-7131
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/16/2018
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