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WALGREEN CO.
CAH521304-00 St. Joseph's Health Services, Inc. dba St. Joseph's Health Services-Gundersen Lutheran
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Covered Entity Details
Entity Name
St. Joseph's Health Services, Inc. dba St. Joseph's Health Services-Gundersen Lutheran
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521304-00
Entity Address
400 WATER AVE
HILLSBORO, WI 54634
Medicare Provider Number
521304
Participating Start Date
7/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09008
403 GATEWAY AVE
MAUSTON, WI 53948
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robin Nelson, CFO
(608) 489-8103
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/17/2023
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