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WALGREEN CO.
SCH040011-00 CHAMBERS MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CHAMBERS MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH040011-00
Entity Address
719 DETROIT STREET
DANVILLE, AR 72833
Medicare Provider Number
040011
Participating Start Date
10/1/2014
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10199
1100 E MAIN ST
RUSSELLVILLE, AR 72801-5319
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mike McCoy, CEO
(479) 495-6218
Contract Pharmacy Representative
Karl Meehan, Vice President
(847) 964-6067
Signed By Date
1/17/2017
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