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WALGREEN CO.
DSH250006 BAPTIST MEMORIAL HOSPITAL - UNION COUNTY
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Covered Entity Details
Entity Name
BAPTIST MEMORIAL HOSPITAL - UNION COUNTY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250006
Entity Address
200 STATE HIGHWAY 30 W
NEW ALBANY, MS 38652-3112
Medicare Provider Number
250006
Participating Start Date
9/4/2008
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04600
3445 ELVIS PRESLEY BLVD.
MEMPHIS, TN 38116
Pharmacy Comments
Contract Details
Approval Date
10/6/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/21/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Kimberly Young, Vice President-Finance Operations
(901) 227-4080
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/6/2023
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