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WALGREEN CO.
DSH180013 THE MEDICAL CENTER - BOWLING GREEN
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Covered Entity Details
Entity Name
THE MEDICAL CENTER - BOWLING GREEN
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180013
Entity Address
250 PARK STREET
BOWLING GREEN, KY 42101
Medicare Provider Number
180013
Participating Start Date
4/1/2005
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04448
1145 U.S. 31 W. BYPASS
BOWLING GREEN, KY 42101
Pharmacy Comments
Contract Details
Approval Date
4/6/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CONNIE SMITH, CEO
(270) 745-1262
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/6/2015
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