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Walgreens Central Fill #21394
CAH171337-00 WAMEGO HOSPITAL ASSOCIATION
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Covered Entity Details
Entity Name
WAMEGO HOSPITAL ASSOCIATION
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171337-00
Entity Address
711 Genn Drive
WAMEGO, KS 66547
Medicare Provider Number
171337
Participating Start Date
7/1/2021
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21394
Pharmacy Address
2601 Hughes Road
Suite 103
Liberty, MO 64068
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
Brian Edward Howells, Administrator
(785) 458-7201
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/13/2023
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