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WALGREEN CO.
CAH141318-00 OSF Holy Family Medical Center
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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
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11881
600 N MAIN ST
MONMOUTH, IL 61462
Pharmacy Comments
Contract Details
Approval Date
10/14/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
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
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