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WALGREEN CO
CAH051335-00 BEAR VALLEY COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
BEAR VALLEY COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051335-00
Entity Address
41870 GARSTIN DR
BIG BEAR, CA 92315
Medicare Provider Number
051335
Participating Start Date
7/1/2022
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10420
42107 BIG BEAR BLVD
PO BOX 6995
BIG BEAR LAKE, CA 92315-1518
Pharmacy Comments
Contract Details
Approval Date
4/11/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Evan Rayner, CEO
(909) 878-8214
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/11/2022
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