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WALGREEN LOUISIANA CO., INC.
CAH191317-00 JACKSON PARISH HOSPITAL
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Covered Entity Details
Entity Name
JACKSON PARISH HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH191317-00
Entity Address
165 BEECH SPRINGS ROAD
JONESBORO, LA 71251
Medicare Provider Number
191317
Participating Start Date
10/1/2018
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA: WALGREENS #11139
108 W CALIFORNIA AVE
RUSTON, LA 71270
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
John Morgan, CEO
(318) 259-4435
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/17/2023
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