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WALGREEN CO.
DSH340099 East Carolina Health d/b/a ECU Health Roanoke-Chowan Hospital
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Covered Entity Details
Entity Name
East Carolina Health d/b/a ECU Health Roanoke-Chowan Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340099
Entity Address
500 SOUTH ACADEMY ST
AHOSKIE, NC 27910
Medicare Provider Number
340099
Participating Start Date
7/1/2005
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15251
700 CATHERINE CREEK RD. S
AHOSKIE, NC 27910-3906
Pharmacy Comments
Contract Details
Approval Date
10/16/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Charles Alford, VP - Financial Services
(252) 641-7131
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2019
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