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WALGREENS MAIL SERVICE, LLC
CAH051301-00 Adventist Health Medical Center Tehachapi
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Covered Entity Details
Entity Name
Adventist Health Medical Center Tehachapi
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051301-00
Entity Address
1100 Magellan DR
Tehachapi, CA 93561
Medicare Provider Number
051301
Participating Start Date
10/1/2012
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WALGREENS MAIL SERVICE, LLC
Pharmacy Address
WALGREENS MAIL SERVICE #03397
8350 S RIVER PARKWAY
TEMPE, AZ 85284
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shane H Cox, Finance Officer
(661) 869-6180
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/11/2023
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