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WALGREEN CO.
PED363303-00 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON
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Covered Entity Details
Entity Name
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON
Subdivision Name
Type
Children's Hospital
340B ID
PED363303-00
Entity Address
ONE PERKINS SQUARE
AKRON, OH 44308-1063
Medicare Provider Number
363303
Participating Start Date
2/26/2010
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03279
1303 COPLEY ROAD
AKRON, OH 44320
Pharmacy Comments
Contract Details
Approval Date
10/5/2021
Contract Begin Date
10/26/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Alicia Lamancusa, Vice President Finance
(330) 543-8171
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President,
(847) 315-2663
Signed By Date
10/5/2021
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