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WALGREEN CO.
CAH181318-00 THE MEDICAL CENTER AT FRANKLIN
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Covered Entity Details
Entity Name
THE MEDICAL CENTER AT FRANKLIN
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181318-00
Entity Address
1100 BROOKHAVEN ROAD
FRANKLIN, KY 42134
Medicare Provider Number
181318
Participating Start Date
4/1/2011
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #17392
224 S MAIN ST
FRANKLIN, KY 42134
Pharmacy Comments
Contract Details
Approval Date
4/18/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Wade R. Stone, Executive Vice President
(270) 745-1504
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/18/2023
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