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WALGREEN CO.
CAH341328-00 MURPHY MEDICAL CENTER dba Erlanger Western Carolina Hospital
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Covered Entity Details
Entity Name
MURPHY MEDICAL CENTER dba Erlanger Western Carolina Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341328-00
Entity Address
3990 E US HIGHWAY 64 ALT
MURPHY, NC 28906
Medicare Provider Number
341328
Participating Start Date
4/1/2015
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #16101
286 MAIN ST
ANDREWS, NC 28901
Pharmacy Comments
Contract Details
Approval Date
4/17/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/26/2025
Pharmacy closed
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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