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WALGREEN EASTERN CO., INC.
CAH331313-00 SCHUYLER HOSPITAL INC
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Covered Entity Details
Entity Name
SCHUYLER HOSPITAL INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331313-00
Entity Address
220 STEUBEN ST
MONTOUR FALLS, NY 14865
Medicare Provider Number
331313
Participating Start Date
1/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #11716
321 W. WASHINGTON ST.
BATH, NY 14810-1017
Pharmacy Comments
Contract Details
Approval Date
10/16/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/3/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
AMY CASTLE, CHIEF FINANCIAL OFFICER
(607) 535-8639 Ext: 3800
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2014
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