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WALGREEN EASTERN CO., INC.
SCH330211-00 Claxton Hepburn Medical Center
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Covered Entity Details
Entity Name
Claxton Hepburn Medical Center
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH330211-00
Entity Address
214 King Street
Ogdensburg, NY 13669
Medicare Provider Number
330211
Participating Start Date
1/1/2014
Last Recertification Date
8/17/2021
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 10293
173 MARKET ST
POTSDAM, NY 13676-1221
Pharmacy Comments
Contract Details
Approval Date
11/13/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kelley M. Tiernan, CFO
(315) 713-5350
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2013
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