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WALGREEN CO.
CAH251313-00 Baptist Medical Center Yazoo
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Covered Entity Details
Entity Name
Baptist Medical Center Yazoo
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251313-00
Entity Address
823 Grand Ave
Yazoo City, MS 39194
Medicare Provider Number
251313
Participating Start Date
1/1/2013
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15250
1606 HIGHLAND COLONY PARKWAY
MADISON, MS 39110
Pharmacy Comments
Contract Details
Approval Date
10/20/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kimberly Young, Vice President-Finance Operations
(901) 227-4080
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/20/2020
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