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WALGREEN CO.
CAH181307-00 APPALACHIAN REGIONAL HEALTHCARE INC. D/B/A MORGAN CO. ARH HOSPITAL
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Covered Entity Details
Entity Name
APPALACHIAN REGIONAL HEALTHCARE INC. D/B/A MORGAN CO. ARH HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181307-00
Entity Address
476 LIBERTY ROAD
WEST LIBERTY, KY 41472
Medicare Provider Number
181307
Participating Start Date
9/8/2010
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #18109
1307 WINCHESTER RD
LEXINGTON, KY 40505-4124
Pharmacy Comments
Contract Details
Approval Date
10/10/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/9/2020
Pharmacy closed
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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