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WALGREEN CO.
RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend
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Covered Entity Details
Entity Name
St. Charles Health System, Inc DBA St. Charles Medical Center-Bend
Subdivision Name
Type
Rural Referral Center
340B ID
RRC380047-00
Entity Address
2500 NE Neff Road
Bend, OR 97701
Medicare Provider Number
380047
Participating Start Date
7/1/2012
Last Recertification Date
8/6/2015
Entity Termination Date
7/1/2016
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15674
223 NE FRANKLIN AVE
BEND, OR 97701
Pharmacy Comments
Contract Details
Approval Date
10/8/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Gary Bruce, VP General Counsel
(541) 706-3707
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/8/2014
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