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WALGREEN CO DBA WALGREENS #17431
DSH180002 WHITESBURG ARH HOSPITAL
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Covered Entity Details
Entity Name
WHITESBURG ARH HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180002
Entity Address
240 HOSPITAL ROAD
WHITESBURG, KY 41858
Medicare Provider Number
180002
Participating Start Date
4/1/2005
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO DBA WALGREENS #17431
Pharmacy Address
DBA WALGREENS #17431
3059 HALF AVE
SAINT PAUL, VA 24283
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Hollie P Harris, President & CEO
(859) 226-2511
Contract Pharmacy Representative
Walgreens
Allene Stewart, Analyst, 340B Client Relationship
(847) 315-4442
Signed By Date
4/17/2023
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