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WALGREENS SPECIALTY PHARMACY, LLC
DSH080001 CHRISTIANA CARE HEALTH SYSTEM
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Covered Entity Details
Entity Name
CHRISTIANA CARE HEALTH SYSTEM
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH080001
Entity Address
501 W. 14TH STREET
WILMINGTON, DE 19801
Medicare Provider Number
080001
Participating Start Date
4/1/2018
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
1/14/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert McMurray, Chief Financial Officer
(302) 623-7202
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2021
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