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WALGREENS SPECIALTY PHARMACY, LLC
CAH341328-00 MURPHY MEDICAL CENTER dba Erlanger Western Carolina Hospital
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Covered Entity Details
Entity Name
MURPHY MEDICAL CENTER dba Erlanger Western Carolina Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341328-00
Entity Address
3990 E US HIGHWAY 64 ALT
MURPHY, NC 28906
Medicare Provider Number
341328
Participating Start Date
4/1/2015
Last Recertification Date
9/4/2024
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
4/12/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BRITTON J. TABOR, CFO
(423) 778-7729
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2021
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