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WALGREEN CO.
RRC520004-00 MCHS FRANCISCAN HEALTHCARE INC
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Covered Entity Details
Entity Name
MCHS FRANCISCAN HEALTHCARE INC
Subdivision Name
Type
Rural Referral Center
340B ID
RRC520004-00
Entity Address
700 WEST AVE SOUTH
LA CROSSE, WI 54601-4783
Medicare Provider Number
520004
Participating Start Date
7/1/2021
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03498
900 WEST AVE S
LA CROSSE, WI 54601
Pharmacy Comments
Contract Details
Approval Date
4/11/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tanner Holst, Regional Chair-Administration SWWI
(608) 392-9705
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/11/2023
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