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WALGREEN CO.
CAH231339-00 Corewell Health Pennock Hospital
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Covered Entity Details
Entity Name
Corewell Health Pennock Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231339-00
Entity Address
1009 west Green Street
Hastings, MI 49058
Medicare Provider Number
231339
Participating Start Date
7/1/2019
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07952
2450 S STATE RD
IONIA, MI 48846
Pharmacy Comments
Contract Details
Approval Date
10/14/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Sella, Senior Director, Finance
(616) 643-9168
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2022
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