340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
DSH210001 MERITUS MEDICAL CENTER
Print
Covered Entity Details
Entity Name
MERITUS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH210001
Entity Address
11116 MEDICAL CAMPUS ROAD
HAGERSTOWN, MD 21742
Medicare Provider Number
210001
Participating Start Date
7/1/2018
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15980
11110 MEDICAL CAMPUS ROAD
SUITE 105
HAGERSTOWN, MD 21742
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/23/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Tom T Chan, CFO
(301) 790-8101
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2020
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