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WALGREEN CO.
CAH521315-00 Mayo Clinic Health System Northland
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Covered Entity Details
Entity Name
Mayo Clinic Health System Northland
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521315-00
Entity Address
1222 East Woodland Avenue
Barron, WI 54812
Medicare Provider Number
521315
Participating Start Date
4/1/2014
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11860
502 S. MAIN ST.
RICE LAKE, WI 54868-2576
Pharmacy Comments
Contract Details
Approval Date
4/12/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michele Eberle, Vice Chair-Administration NWWI
(715) 568-6113
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2023
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