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WALGREEN CO.
CAH441306-00 Erlanger Health dba Erlanger Bledsoe Hospital
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Covered Entity Details
Entity Name
Erlanger Health dba Erlanger Bledsoe Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH441306-00
Entity Address
71 Wheelertown Avenue
Pikeville, TN 37367
Medicare Provider Number
441306
Participating Start Date
7/1/2014
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11670
14857 RANKIN AVE.
DUNLAP, TN 37327
Pharmacy Comments
Contract Details
Approval Date
4/17/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BRITTON J. TABOR, CFO
(423) 778-7729
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/17/2019
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