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WALGREEN CO.
CAH111334-00 Candler County Hospital
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Covered Entity Details
Entity Name
Candler County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH111334-00
Entity Address
400 Cedar Street
Metter, GA 30439
Medicare Provider Number
111334
Participating Start Date
4/1/2014
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #17222
730 S LEWIS ST
METTER, GA 30439
Pharmacy Comments
Contract Details
Approval Date
10/19/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Will William Bennett, CFO
(912) 685-1769
Contract Pharmacy Representative
Walgreen
KARI MEEHAN, VICE PRESIDENT, HEALTH SYSTEMS PROGRAM
(847) 315-2663
Signed By Date
10/19/2020
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