340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

WALGREENS SPECIALTY PHARMACY, LLC
CAH031318-00 BANNER PAYSON MEDICAL CENTER

Covered Entity Details

Critical Access Hospital
CAH031318-00
807 S. PONDEROSA
PAYSON, AZ 85541
031318
1/1/2020
8/20/2024


Pharmacy Details

DBA WALGREENS SPECIALTY PHARMACY #16287
130 ENTERPRISE DR
PITTSBURGH, PA 15275

Contract Details

1/9/2020
4/1/2020


Contacts


Matthew K King, Senior Finance Director
(801) 682-9661



Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
1/9/2020