Contract Pharmacy Details

WALGREEN CO.
CAH441310-00 RHEA MEDICAL CENTER

Covered Entity Details

Entity Name

RHEA MEDICAL CENTER

Subdivision Name

Type

Critical Access Hospital

340B ID

CAH441310-00

Entity Address

9400 RHEA COUNTY HIGHWAY
DAYTON, TN 37321

Medicare Provider Number

441310

Participating Start Date

1/1/2015

Last Recertification Date

9/9/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #11634
7971 RHEA COUNTY HWY.
DAYTON, TN 37321

Pharmacy Comments

Contract Details

Approval Date

4/15/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Marilyn Engel, Business Office Director
(423) 775-8588

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

4/15/2020

340B Drug Pricing Program Database