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WALGREEN CO.
DSH040036 BAPTIST HEALTH MEDICAL CENTER- NLR
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Covered Entity Details
Entity Name
BAPTIST HEALTH MEDICAL CENTER- NLR
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040036
Entity Address
3333 SPRINGHILL DRIVE
NORTH LITTLE ROCK, AR 72117
Medicare Provider Number
040036
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02364
819 W. MAIN ST
JACKSONVILLE, AR 72076-4435
Pharmacy Comments
Contract Details
Approval Date
7/18/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brent Beaulieu, CFO
(501) 202-2017
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/12/2024
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