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WALGREEN CO.
DSH050036 BAKERSFIELD MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
BAKERSFIELD MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050036
Entity Address
420 34TH STREET
BAKERSFIELD, CA 93301
Medicare Provider Number
050036
Participating Start Date
9/9/2005
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03272
3315 SOUTH H STREET
BAKERSFIELD, CA 93304
Pharmacy Comments
Contract Details
Approval Date
2/25/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/14/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jon Van Boening, President
(661) 327-4647 Ext: 1808
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2013
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