340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CAH061344-00 St. Thomas More Hospital
Print
Covered Entity Details
Entity Name
St. Thomas More Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061344-00
Entity Address
1338 PHAY AVENUE
CANON CITY, CO 81212
Medicare Provider Number
061344
Participating Start Date
7/1/2019
Last Recertification Date
9/8/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09393
1609 FREMONT DR
CANON CITY, CO 81212-2403
Pharmacy Comments
Contract Details
Approval Date
10/12/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristi Olson, Chief Executive Officer
(719) 285-2039
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/12/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session