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WALGREEN CO.
RRC450034-00 CHRISTUS HOSPITAL
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Covered Entity Details
Entity Name
CHRISTUS HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC450034-00
Entity Address
2830 CALDER STREET
BEAUMONT, TX 77702-1048
Medicare Provider Number
450034
Participating Start Date
10/1/2018
Last Recertification Date
8/31/2020
Entity Termination Date
5/25/2021
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06583
3885 N DOWLEN ROAD
BEAUMONT, TX 77706
Pharmacy Comments
11/18/2011 updated address line 1 (was 3885 DOWLEN ROAD)
Contract Details
Approval Date
1/15/2021
Contract Begin Date
1/21/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/25/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Paul Trevino, CEO, CHRISTUS Health Southeast Texas
(409) 899-7102
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2021
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