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WALGREEN CO.
RRC230227-00 MCLAREN MACOMB
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Covered Entity Details
Entity Name
MCLAREN MACOMB
Subdivision Name
Type
Rural Referral Center
340B ID
RRC230227-00
Entity Address
1000 HARRINGTON
MT. CLEMENS, MI 48043
Medicare Provider Number
230227
Participating Start Date
12/1/2020
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04795
25016 GRATIOT AVE
EASTPOINTE, MI 48021
Pharmacy Comments
Contract Details
Approval Date
1/20/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brian Balutanski, Regional CFO
(586) 493-3044
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/20/2022
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