Contract Pharmacy Details

WALGREEN CO.
CAH521351-00 REEDSBURG AREA MEDICAL CENTER

Covered Entity Details

Entity Name

REEDSBURG AREA MEDICAL CENTER

Subdivision Name

Type

Critical Access Hospital

340B ID

CAH521351-00

Entity Address

2000 N DEWEY AVE
REEDSBURG, WI 53959

Medicare Provider Number

521351

Participating Start Date

1/1/2011

Last Recertification Date

8/30/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

WALGREENS SPECIALTY PHARMACY #15322
826 N PLANKINTON AVE STE 100
MILWAUKEE, WI 53203

Pharmacy Comments

Formally Bioscrip Pharmacy

Contract Details

Approval Date

6/29/2020

Contract Begin Date

6/29/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

ROBERT VANMEETEREN, CEO/PRESIDENT
(608) 524-6487

Contract Pharmacy Representative

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

Signed By Date

6/29/2020

340B Drug Pricing Program Database