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WALGREEN CO.
DSH140172 FRANCISCAN HEALTH OLYMPIA FIELDS
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Covered Entity Details
Entity Name
FRANCISCAN HEALTH OLYMPIA FIELDS
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140172
Entity Address
20201 SOUTH CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Medicare Provider Number
140172
Participating Start Date
4/1/2015
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07411
3200 VOLLMER ROAD
OLYMPIA FIELDS, IL 60461-1122
Pharmacy Comments
Contract Details
Approval Date
1/13/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Frank J McHugh, VP Finance - CFO
(708) 747-4000 Ext: 82014
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/13/2023
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