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WALGREEN EASTERN CO., INC.
DSH310014A THE COOPER HEALTH SYSTEM DBA COOPER UNIVERSITY HOSPITAL
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Covered Entity Details
Entity Name
THE COOPER HEALTH SYSTEM DBA COOPER UNIVERSITY HOSPITAL
Subdivision Name
COOPER SURGERY CENTER
Type
Disproportionate Share Hospital
340B ID
DSH310014A
Entity Address
900 CENTENNIAL BLVD
STE E
VOORHEES, NJ 08043
Medicare Provider Number
310014
Outpatient Facility Provider Number
Participating Start Date
7/1/2009
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #21171
900 CENTENNIAL BLVD BLDG 2 STE 205
VOORHEES, NJ 08043
Pharmacy Comments
Contract Details
Approval Date
4/5/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brian M Reilly, CFO
(856) 342-2443
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/5/2019
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