340B Drug Pricing Program Database
WALGREENS MAIL SERVICE, INC.
SCH160001-00 UNITYPOINT HEALTH-MARSHALLTOWN - information as of 4/25/2025 8:53:47 PM
Covered Entity Details
Entity Name
UNITYPOINT HEALTH-MARSHALLTOWN
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH160001-00
Entity Address
3 SOUTH 4TH AVENUE
MARSHALLTOWN, IA 50158
Medicare Provider Number
160001
Participating Start Date
1/1/2019
Last Recertification Date
9/3/2021
Entity Termination Date
1/1/2022
Pharmacy Details
Pharmacy Name
WALGREENS MAIL SERVICE, INC.
Pharmacy Address
8350 S RIVER PARKWAY
TEMPE, AZ 85284
Pharmacy Comments
Contract Details
Approval Date
10/2/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/23/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Hilary Dolbee, CFO
(641) 754-5125
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/2/2014
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