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WALGREEN CO.
DSH050127 WOODLAND MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
WOODLAND MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050127
Entity Address
1325 COTTONWOOD ST
WOODLAND, CA 95695
Medicare Provider Number
050127
Participating Start Date
1/1/2005
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04198
1351 W CAPITOL AVE
WEST SACRAMENTO, CA 95691
Pharmacy Comments
Contract Details
Approval Date
7/15/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/8/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
WILLIAM ALGER, CFO
(530) 669-5348
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2013
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