340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walgreens #21397
CAH061303-00 EAST MORGAN COUNTY HOSPITAL
Print
Covered Entity Details
Entity Name
EAST MORGAN COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061303-00
Entity Address
2400 EDISON STREET
BRUSH, CO 80723
Medicare Provider Number
061303
Participating Start Date
9/29/2010
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
Walgreens #21397
Pharmacy Address
Walgreens Central Fill #21397
5675 Pecos St.
Suite 100
Denver, CO 80221-6655
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
DENA KLOCKMAN, CHIEF FINANCIAL OFFICER
(308) 284-7263
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/17/2023
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