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WALGREEN CO.
DSH520089 Meriter Health Services
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Covered Entity Details
Entity Name
Meriter Health Services
Subdivision Name
UnityPoint Health-Meriter
Type
Disproportionate Share Hospital
340B ID
DSH520089
Entity Address
202 S Park St
Madison, WI 53715
Medicare Provider Number
520089
Participating Start Date
10/1/2012
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06132
2909 E WASHINGTON AVE
MADISON, WI 53704
Pharmacy Comments
Contract Details
Approval Date
3/1/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Linda Hoff, CFO - Meriter Health Services
(608) 417-5811
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2013
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