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WALGREEN CO.
CAH141316-00 Carle Hoopeston Regional Health Center
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Covered Entity Details
Entity Name
Carle Hoopeston Regional Health Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141316-00
Entity Address
701 East Orange Street
Hoopeston, IL 60942
Medicare Provider Number
141316
Participating Start Date
7/1/2013
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 11542
411 W. LINCOLN AVE
CHARLESTON, IL 61920
Pharmacy Comments
Contract Details
Approval Date
10/16/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dennis P. Hesch, Executive VP and CFO
(217) 326-8231
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2015
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