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WALGREEN CO.
DSH220024 HOLYOKE MEDICAL CENTER
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Covered Entity Details
Entity Name
HOLYOKE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220024
Entity Address
575 BEECH STREET
HOLYOKE, MA 01040
Medicare Provider Number
220024
Participating Start Date
10/1/2004
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16331
5361 NW 22ND AVE STE 2
MIAMI, FL 33142
Pharmacy Comments
Contract Details
Approval Date
4/11/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SPIROS HATIRAS, CEO
(413) 534-2667
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/11/2020
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