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WALGREEN EASTERN CO., INC.
DSH330246 ST. CHARLES HOSPITAL
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Covered Entity Details
Entity Name
ST. CHARLES HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330246
Entity Address
200 BELLE TERRE ROAD
PORT JEFFERSON, NY 11777
Medicare Provider Number
330246
Participating Start Date
1/1/2011
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 05135
655 MIDDLE COUNTRY RD
SELDEN, NY 11784
Pharmacy Comments
Contract Details
Approval Date
1/6/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ronald Weingartner, VP
(631) 474-6600
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/6/2017
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