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MEIJER PHARMACY #281
DSH140228 SWEDISH AMERICAN HOSPITAL
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Covered Entity Details
Entity Name
SWEDISH AMERICAN HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140228
Entity Address
1401 E STATE ST
ROCKFORD, IL 61104
Medicare Provider Number
140228
Participating Start Date
9/9/2005
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
MEIJER PHARMACY #281
Pharmacy Address
1770 W. LANE ROAD
MACHESNEY PARK, IL 61115
Pharmacy Comments
Contract Details
Approval Date
7/7/2020
Contract Begin Date
8/26/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/16/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Patricia A. DeWane, Vice President, Finance and Treasurer
(779) 696-4727
Contract Pharmacy Representative
Meijer
Kevin Hurn, Dir, Pharmacy Procurement and New Business
(616) 791-5185
Signed By Date
7/7/2020
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