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Walgreen CO
CAH141309-00 CARLE EUREKA HOSPITAL
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Covered Entity Details
Entity Name
CARLE EUREKA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141309-00
Entity Address
101 SOUTH MAJOR STREET
EUREKA, IL 61530
Medicare Provider Number
141309
Participating Start Date
1/1/2017
Last Recertification Date
8/21/2024
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
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dennis P. Hesch, Executive VP and CFO
(217) 326-8231
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/17/2023
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