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WALGREEN CO.
DSH260138 ST. LUKE'S HOSPITAL OF KANSAS CITY
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Covered Entity Details
Entity Name
ST. LUKE'S HOSPITAL OF KANSAS CITY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260138
Entity Address
4401 Wornall Road
KANSAS CITY, MO 64111
Medicare Provider Number
260138
Participating Start Date
10/1/2009
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04236
2261 S STERLING AVE
INDEPENDENCE, MO 64052
Pharmacy Comments
Contract Details
Approval Date
11/25/2011
Contract Begin Date
10/31/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/31/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Amy Nachtigal, CFO
(816) 932-3318
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
11/11/2011
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