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WALGREEN CO
CAH141303-00 WARNER HOSPITAL AND HEALTH SERVICES
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Covered Entity Details
Entity Name
WARNER HOSPITAL AND HEALTH SERVICES
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141303-00
Entity Address
422 WEST WHITE ST.
CLINTON, IL 61727-2199
Medicare Provider Number
141303
Participating Start Date
9/28/2010
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10800
424 W VAN BUREN ST
CLINTON, IL 61727-2130
Pharmacy Comments
Contract Details
Approval Date
4/20/2012
Contract Begin Date
4/20/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
EARL SHEEHY, CEO
(217) 935-9571 Ext: 3201
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
5/13/2012
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