340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walgreens #21373
DSH450352 Hunt Regional Medical Center
Print
Covered Entity Details
Entity Name
Hunt Regional Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450352
Entity Address
4215 Joe Ramsey Blvd
Greenville, TX 75401
Medicare Provider Number
450352
Participating Start Date
1/1/2013
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
Walgreens #21373
Pharmacy Address
Walgreens Central Fill #21373
4100 Dale Earnhardt Way
STE 200
Northlake, TX 76262
Pharmacy Comments
Contract Details
Approval Date
1/5/2023
Contract Begin Date
1/12/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Ayers Robertson, Chief Financial Officer
(903) 408-1607
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/5/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session