340B Drug Pricing Program Database
WALGREEN CO.
DSH230017 BRONSON METHODIST HOSPITAL - information as of 4/30/2025 12:22:23 AM
Covered Entity Details
Entity Name
BRONSON METHODIST HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230017
Entity Address
601 JOHN STREET
KALAMAZOO, MI 49007
Medicare Provider Number
230017
Participating Start Date
7/1/2004
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07894
5815 GULL RD
KALAMAZOO, MI 49048-1094
Pharmacy Comments
Contract Details
Approval Date
3/6/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary M. Meitz, Vice President, Finance, Chief Financial Officer
(269) 341-8988
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2013
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