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WALGREEN CO.
CAH521326-00 ThedaCare Medical Center - New London, Inc.
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Covered Entity Details
Entity Name
ThedaCare Medical Center - New London, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521326-00
Entity Address
1405 Mill Street
New London, WI 54961
Medicare Provider Number
521326
Participating Start Date
7/1/2012
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11301
981 N. SHAWANO ST.
NEW LONDON, WI 54961-9380
Pharmacy Comments
Contract Details
Approval Date
4/4/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William A. Schmidt, President / CEO
(920) 531-2092
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/4/2014
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