340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CAH231319-00 ASPIRUS KEWEENAW HOSPITAL
Print
Covered Entity Details
Entity Name
ASPIRUS KEWEENAW HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231319-00
Entity Address
205 OSCEOLA STREET
LAURIUM, MI 49913
Medicare Provider Number
231319
Participating Start Date
1/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12776
1115 W WASHINGTON ST
MARQUETTE, MI 49855-4001
Pharmacy Comments
Contract Details
Approval Date
4/2/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/10/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jesse Tischer, Sr. Vice President, Enterprise Development & Operations
(715) 847-2553
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/2/2019
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