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WALGREEN CO.
CAH171337-00 WAMEGO HOSPITAL ASSOCIATION
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Covered Entity Details
Entity Name
WAMEGO HOSPITAL ASSOCIATION
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171337-00
Entity Address
711 Genn Drive
WAMEGO, KS 66547
Medicare Provider Number
171337
Participating Start Date
7/1/2021
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12814
2719 ANDERSON AVE
MANHATTAN, KS 66502
Pharmacy Comments
Contract Details
Approval Date
7/2/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Charles Copple, Hospital President
(785) 776-2841
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/2/2021
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