340B Drug Pricing Program Database
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WALGREENS MAIL SERVICE, INC.
CAH451371-04 Ascension Seton d/b/a Ascension Seton Edgar B. Davis
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Covered Entity Details
Entity Name
Ascension Seton d/b/a Ascension Seton Edgar B. Davis
Subdivision Name
SETON HEALTHCARE D/B/A SETON LOCKHART FAMILY HEALTH CENTER
Type
Critical Access Hospital
340B ID
CAH451371-04
Entity Address
300 S. Colorado, Suite A, B, C, & D
LOCKHART, TX 78644-2707
Medicare Provider Number
451371
Outpatient Facility Provider Number
Participating Start Date
1/1/2021
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
WALGREENS MAIL SERVICE, INC.
Pharmacy Address
8337 S PARK CIRCLE
ORLANDO, FL 32819-9049
Pharmacy Comments
Contract Details
Approval Date
4/8/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/20/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
THOMAS E. GALLAGHER, PRESIDENT & CEO
(512) 324-1903
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/8/2013
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