340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO
RRC360070-00 CLEVELAND CLINIC MERCY HOSPITAL
Print
Covered Entity Details
Entity Name
CLEVELAND CLINIC MERCY HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC360070-00
Entity Address
1320 MERCY DRIVE N.W
CANTON, OH 44708
Medicare Provider Number
360070
Participating Start Date
7/1/2020
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #11810
6701 FRANK AVENUE NW
NORTH CANTON, OH 44720-7268
Pharmacy Comments
Contract Details
Approval Date
7/2/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David K Stewart, SVP / COO / CFO
(330) 489-1007
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/2/2020
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