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WALGREEN CO.
CAH371311-00 JEFFERSON COUNTY HOSPITAL
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Covered Entity Details
Entity Name
JEFFERSON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH371311-00
Entity Address
9170 US Hwy 70
INTERSECTION HWY 70 & 81
WAURIKA, OK 73573
Medicare Provider Number
371311
Participating Start Date
1/1/2017
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS #21242
1145 S. UTICA AVE.
STE G-1
TULSA, OK 74104
Pharmacy Comments
Contract Details
Approval Date
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roger Neal, VP-COO
(580) 606-9169
Contract Pharmacy Representative
Duncan Regional Hospital
Dana Strawn Berryhill, Director of Pharmacy
(580) 251-8784
Signed By Date
7/9/2024
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