340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CAH461333-00 IHC Health Services Inc. DBA Intermountain Health Garfield Memorial Hospital
Print
Covered Entity Details
Entity Name
IHC Health Services Inc. DBA Intermountain Health Garfield Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH461333-00
Entity Address
200 North 400 East
Panguitch, UT 84759
Medicare Provider Number
461333
Participating Start Date
7/1/2017
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11337
1948 W. CROSS HOLLOW
CEDAR CITY, UT 84720
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/17/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alberto Vasquez, Administrator
(435) 676-1261
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/12/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session