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WALGREEN CO.
RRC520198-00 AURORA MEDICAL CENTER OF OSHKOSH
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Covered Entity Details
Entity Name
AURORA MEDICAL CENTER OF OSHKOSH
Subdivision Name
Type
Rural Referral Center
340B ID
RRC520198-00
Entity Address
855 N. WESTHAVEN DRIVE
OSHKOSH, WI 54904
Medicare Provider Number
520198
Participating Start Date
7/1/2021
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04533
315 W. MURDOCK AVE
OSHKOSH, WI 54901
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nan Nelson, SVP-Finance
(414) 378-4765
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2021
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