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WALGREENS SPECIALTY PHARMACY, LLC
DSH010005 HH Health System - Marshall LLC
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Covered Entity Details
Entity Name
HH Health System - Marshall LLC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010005
Entity Address
2505 U.S. HIGHWAY 431
BOAZ, AL 35957
Medicare Provider Number
010005
Participating Start Date
4/1/2016
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
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Taylor Walker, CFO
(256) 894-6712
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2021
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