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WALGREEN CO.
CAH161339-00 WAVERLY HEALTH CENTER
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Covered Entity Details
Entity Name
WAVERLY HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161339-00
Entity Address
312 9TH ST SW
WAVERLY, IA 50677
Medicare Provider Number
161339
Participating Start Date
9/1/2010
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12148
320 W BREMER AVE
WAVERLY, IA 50677
Pharmacy Comments
Contract Details
Approval Date
1/14/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Bennett, Chief Financial Officer
(319) 352-4944
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2015
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