340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREENS MAIL SERVICE, INC.
CAH141318-00 OSF Holy Family Medical Center
Print
Covered Entity Details
Entity Name
OSF Holy Family Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141318-00
Entity Address
1000 West Harlem Ave
Monmouth, IL 61462
Medicare Provider Number
141318
Participating Start Date
1/1/2013
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WALGREENS MAIL SERVICE, INC.
Pharmacy Address
8350 S RIVER PARKWAY
TEMPE, AZ 85284
Pharmacy Comments
Contract Details
Approval Date
10/14/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/2/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Diane Marie McGrew, President
(309) 655-2850
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2013
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