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WALGREEN CO.
DSH290007 UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA
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Covered Entity Details
Entity Name
UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH290007
Entity Address
1800 W Charleston Blvd.
LAS VEGAS, NV 89102
Medicare Provider Number
290007
Participating Start Date
7/1/1994
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12539
6825 N. DURANGO DR.
LAS VEGAS, NV 89149
Pharmacy Comments
Contract Details
Approval Date
9/28/2012
Contract Begin Date
9/28/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephanie Merrill, CFO
(702) 383-7835
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
9/28/2012
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