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WALGREENS MAIL SERVICE, LLC
DSH330234 WESTCHESTER MEDICAL CENTER
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Covered Entity Details
Entity Name
WESTCHESTER MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330234
Entity Address
100 Woods Road
Valhalla, NY 10595
Medicare Provider Number
330234
Participating Start Date
1/1/1994
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WALGREENS MAIL SERVICE, LLC
Pharmacy Address
WALGREENS MAIL SERVICE #03397
8350 S RIVER PARKWAY
TEMPE, AZ 85284
Pharmacy Comments
Contract Details
Approval Date
10/14/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anthony Costello, COO
(914) 493-7028
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2020
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