340B Drug Pricing Program Database
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WALGREEN CO.
CAH371312-00 St. John Sapulpa
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Covered Entity Details
Entity Name
St. John Sapulpa
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH371312-00
Entity Address
1004 East Bryan Ave.
Sapulpa, OK 74066
Medicare Provider Number
371312
Participating Start Date
1/1/2014
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04723
11 W TAFT AVE
SAPULPA, OK 74066
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael James Christian, President
(918) 224-4394
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/11/2024
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