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WALGREEN EASTERN CO., INC.
CAH331314-00 SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY
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Covered Entity Details
Entity Name
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331314-00
Entity Address
418 NORTH MAIN STREET
PENN YAN, NY 14527
Medicare Provider Number
331314
Participating Start Date
1/1/2020
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #10380
18 EASTERN BLVD.
CANANDAIGUA, NY 14424-2219
Pharmacy Comments
Contract Details
Approval Date
4/7/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Frank Michael Korich, Chief Operating Officer
(315) 787-4021
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/7/2022
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