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WALGREEN CO.
DSH420065 BON SECOURS - ST. FRANCIS XAVIER HOSPITAL
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Covered Entity Details
Entity Name
BON SECOURS - ST. FRANCIS XAVIER HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH420065
Entity Address
2095 HENRY TECKLENBURG DRIVE
CHARLESTON, SC 29414
Medicare Provider Number
420065
Participating Start Date
10/1/2010
Last Recertification Date
9/4/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07156
1810 N HWY 17
MT PLEASANT, SC 29464-3309
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Christopher Lawrence Glenn, Director of Finance
(843) 789-1705
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2022
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