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WALGREEN CO.
DSH050093 SAINT AGNES MEDICAL CENTER
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Covered Entity Details
Entity Name
SAINT AGNES MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050093
Entity Address
1303 E HERNDON AVE
FRESNO, CA 93720
Medicare Provider Number
050093
Participating Start Date
1/1/2014
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06942
6010 N FIGARDEN DRIVE
FRESNO, CA 93722-6030
Pharmacy Comments
Contract Details
Approval Date
7/7/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
NANCY HOLLINGSWORTH, CEO
(559) 450-3301
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/7/2021
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