340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
DSH230208 SPARROW CARSON HOSPITAL
Print
Covered Entity Details
Entity Name
SPARROW CARSON HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230208
Entity Address
406 EAST ELM STREET
CARSON CITY, MI 48811
Medicare Provider Number
230208
Participating Start Date
4/1/2008
Last Recertification Date
8/22/2018
Entity Termination Date
1/1/2020
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10251
1410 S US HWY 27
ST JOHNS, MI 48879-2432
Pharmacy Comments
Contract Details
Approval Date
7/15/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/13/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
DUANE MILLER, V.P. FINANCE
(989) 584-3131
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session