Contract Pharmacy Details

WALGREEN CO.
DSH340147 NASH HOSPITALS, INC.

Covered Entity Details

Entity Name

NASH HOSPITALS, INC.

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH340147

Entity Address

2460 CURTIS ELLIS DRIVE
ROCKY MOUNT, NC 27804

Medicare Provider Number

340147

Participating Start Date

10/1/2004

Last Recertification Date

8/12/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 07548
2624 SUNSET AVE
ROCKY MOUNT, NC 27804-3747

Pharmacy Comments

Contract Details

Approval Date

1/15/2019

Contract Begin Date

4/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Brad Weisner, COO
(252) 962-8227

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/15/2019

340B Drug Pricing Program Database