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WALGREEN CO.
DSH210016 Adventist Healthcare White Oak Medical Center
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Covered Entity Details
Entity Name
Adventist Healthcare White Oak Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH210016
Entity Address
11890 Healing Way
Silver Spring, MD 20904
Medicare Provider Number
210016
Participating Start Date
10/1/2010
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12817
11215 NEW HAMPSHIRE AVE
SILVER SPRING, MD 20904
Pharmacy Comments
Contract Details
Approval Date
4/24/2012
Contract Begin Date
4/24/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/6/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Joyce Newmyer, President
(301) 891-5651
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2012
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