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WALGREEN CO.
CAH181316-00 ARH MARY BRECKINRIDGE HEALTH SERVICES, INC. DBA MARY BRECKINRIDGE ARH HOSPITAL
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Covered Entity Details
Entity Name
ARH MARY BRECKINRIDGE HEALTH SERVICES, INC. DBA MARY BRECKINRIDGE ARH HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181316-00
Entity Address
130 KATE IRELAND DRIVE
HYDEN, KY 41749
Medicare Provider Number
181316
Participating Start Date
10/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #17162
21287 HIGHWAY 421
PO BOX 1665
HYDEN, KY 41749
Pharmacy Comments
Contract Details
Approval Date
10/10/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph Grossman, PRESIDENT and CEO
(859) 226-2450
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/10/2019
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