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WALGREEN CO.
DSH260048 Truman Medical Center, Incorporated dba University Health Truman Medical Center
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Covered Entity Details
Entity Name
Truman Medical Center, Incorporated dba University Health Truman Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260048
Entity Address
2301 Holmes Street
Kansas City, MO 64108
Medicare Provider Number
260048
Participating Start Date
12/1/1992
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10845
2301 HOLMES STREET
KANSAS CITY, MO 64108-2640
Pharmacy Comments
Contract Details
Approval Date
2/14/2007
Contract Begin Date
2/14/2007
Carve-In Effective Date
Contract Comments
9/10/07 ADMIN CHANGE (WAS LINKED TO DSH11702)
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
2/7/2007
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