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Walgreens #21389
CAH141323-00 MASSAC COUNTY HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
MASSAC COUNTY HOSPITAL DISTRICT
Subdivision Name
Massac Memorial Hospital
Type
Critical Access Hospital
340B ID
CAH141323-00
Entity Address
28 CHICK ST.
METROPOLIS, IL 62960
Medicare Provider Number
141323
Participating Start Date
8/31/2010
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
Walgreens #21389
Pharmacy Address
Walgreens Central Fill #21389
3299 Tchulatech Dr
Suite 101
Memphis, TN 38118
Pharmacy Comments
Contract Details
Approval Date
4/8/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lynn Ann Goines, CFO
(618) 524-2176 Ext: 2296
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/8/2022
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