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WALGREEN CO.
CAH451373-00 Ward Memorial Hospital
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Covered Entity Details
Entity Name
Ward Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451373-00
Entity Address
406 S Gary St
Monahans, TX 79756-0040
Medicare Provider Number
451373
Participating Start Date
7/1/2014
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06715
1305 W UNIVERSITY BLVD
ODESSA, TX 79764-7121
Pharmacy Comments
Contract Details
Approval Date
5/17/2024
Contract Begin Date
5/17/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leticia C. Rodriguez, CEO
(432) 943-2511 Ext: 176
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
5/17/2024
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