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WALGREEN EASTERN CO., INC.
CAH331305-00 O'Connor Hospital
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Covered Entity Details
Entity Name
O'Connor Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331305-00
Entity Address
460 Andes Road
Delhi, NY 13753
Medicare Provider Number
331305
Participating Start Date
2/13/2013
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WLAGREENS # 19432
5 LAKE ST
STAMFORD, NY 12167
Pharmacy Comments
Contract Details
Approval Date
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott Bonderoff, President
(607) 746-0326
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/14/2020
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