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WALGREEN CO.
CAH521340-00 Mayo Clinic Health System - Red Cedar
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Covered Entity Details
Entity Name
Mayo Clinic Health System - Red Cedar
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521340-00
Entity Address
2321 Stout Road
Menomonie, WI 54751
Medicare Provider Number
521340
Participating Start Date
1/1/2012
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10585
1047 N MAIN ST
RIVER FALLS, WI 54022
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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