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WALGREEN CO.
DSH450015 DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH
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Covered Entity Details
Entity Name
DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450015
Entity Address
5200 Harry Hines Blvd
Dallas, TX 75235
Medicare Provider Number
450015
Participating Start Date
12/1/1992
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12292
7255 COIT RD.
FRISCO, TX 75035
Pharmacy Comments
Contract Details
Approval Date
5/31/2012
Contract Begin Date
5/31/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JOHN DRAGOVITS, EXCEUTIVE VICE PRESIDENT AND CFO
(214) 590-8097
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
5/15/2012
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