340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREENS MAIL SERVICE, INC.
RRC010005-00 MARSHALL MEDICAL CENTER SOUTH
Print
Covered Entity Details
Entity Name
MARSHALL MEDICAL CENTER SOUTH
Subdivision Name
Type
Rural Referral Center
340B ID
RRC010005-00
Entity Address
2505 US HIGHWAY 431 NORTH
BOAZ, AL 35957
Medicare Provider Number
010005
Participating Start Date
7/1/2011
Last Recertification Date
8/5/2015
Entity Termination Date
4/1/2016
Pharmacy Details
Pharmacy Name
WALGREENS MAIL SERVICE, INC.
Pharmacy Address
8350 S RIVER PARKWAY
TEMPE, AZ 85284
Pharmacy Comments
Contract Details
Approval Date
1/13/2014
Contract Begin Date
4/1/2014
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
GARY R. GORE, CEO
(256) 894-6611
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/13/2014
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session