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WALGREEN CO.
SCH160001-00 UNITYPOINT HEALTH-MARSHALLTOWN
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Covered Entity Details
Entity Name
UNITYPOINT HEALTH-MARSHALLTOWN
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH160001-00
Entity Address
3 SOUTH 4TH AVENUE
MARSHALLTOWN, IA 50158
Medicare Provider Number
160001
Participating Start Date
1/1/2019
Last Recertification Date
9/3/2021
Entity Termination Date
1/1/2022
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03196
5 E ANSON ST
MARSHALLTOWN, IA 50158
Pharmacy Comments
Contract Details
Approval Date
10/2/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/7/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Hilary Dolbee, CFO
(641) 754-5125
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/2/2014
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