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WALGREEN CO.
SCH240043-00 MAYO CLINIC HEALTH SYSTEM-ALBERT LEA
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Covered Entity Details
Entity Name
MAYO CLINIC HEALTH SYSTEM-ALBERT LEA
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH240043-00
Entity Address
404 W FOUNTAIN STREET
ALBERT LEA, MN 56007
Medicare Provider Number
240043
Participating Start Date
10/1/2014
Last Recertification Date
8/14/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09094
1420 W OAKLAND AVE
AUSTIN, MN 55912-1652
Pharmacy Comments
Contract Details
Approval Date
4/12/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kristin S. Johnson, Vice Chair Administration SE MN
(507) 434-9806
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2023
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