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WALGREEN CO.
SCH040011-00 CHAMBERS MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CHAMBERS MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH040011-00
Entity Address
719 DETROIT STREET
DANVILLE, AR 72833
Medicare Provider Number
040011
Participating Start Date
10/1/2014
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15243
3202 W. MAIN ST.
RUSSELLVILLE, AR 72801
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
Scott Peek, CEO
(479) 495-0020
Contract Pharmacy Representative
WALGREENS CO.
ELIZABETH BORNMANN, ANALYST, 340B CLIENT RELATIONSHIP
(847) 527-2263
Signed By Date
4/11/2024
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