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Walgreens #21420
CAH341328-00 MURPHY MEDICAL CENTER dba Erlanger Western Carolina Hospital
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Covered Entity Details
Entity Name
MURPHY MEDICAL CENTER dba Erlanger Western Carolina Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341328-00
Entity Address
3990 E US HIGHWAY 64 ALT
MURPHY, NC 28906
Medicare Provider Number
341328
Participating Start Date
4/1/2015
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
Walgreens #21420
Pharmacy Address
Walgreens Central Fill #21420
8440 Times Dispatch Blvd
Ste. 400
Mechanicsville, VA 23116
Pharmacy Comments
Contract Details
Approval Date
7/7/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Misty Brackett, VP Revenue Cycle
(423) 778-9775
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/7/2023
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