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WALGREEN CO.
DSH440151 Saint Thomas River Park Hospital, LLC d/b/a Ascension Saint Thomas River Park
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Covered Entity Details
Entity Name
Saint Thomas River Park Hospital, LLC d/b/a Ascension Saint Thomas River Park
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440151
Entity Address
1559 SPARTA ROAD
MCMINNVILLE, TN 37110
Medicare Provider Number
440151
Participating Start Date
4/1/2017
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05474
500 S WILLOW AVE
COOKEVILLE, TN 38501
Pharmacy Comments
Contract Details
Approval Date
1/9/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa R. Davis, TN Ministry Market CFO Saint Thomas
(615) 284-6845
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/9/2024
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