340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walgreen CO
CAH141300-00 THOMAS H BOYD CRITICAL ACC HOSPITAL
Print
Covered Entity Details
Entity Name
THOMAS H BOYD CRITICAL ACC HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141300-00
Entity Address
800 SCHOOL STREET
CARROLLTON, IL 62016
Medicare Provider Number
141300
Participating Start Date
10/1/2018
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
Walgreen CO
Pharmacy Address
DBA Walgreens Central Fill #21417
599 S Schmidt Rd
Ste A
Bolingbrook, IL 60440-9405
Pharmacy Comments
Contract Details
Approval Date
7/5/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donna Dewitt, CEO
(217) 942-6946 Ext: 1201
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/5/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session