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WALGREENS SPECIALTY PHARMACY, LLC
DSH310029 Virtua Our Lady Of Lourdes Hospital
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Covered Entity Details
Entity Name
Virtua Our Lady Of Lourdes Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310029
Entity Address
1600 HADDON AVENUE
CAMDEN, NJ 08103
Medicare Provider Number
310029
Participating Start Date
7/1/2009
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
7/21/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MICHAEL HAMMOND, CFO
(856) 757-3809
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/21/2014
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