340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO
SCH420067-00 BEAUFORT MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
BEAUFORT MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH420067-00
Entity Address
955 RIBAUT ROAD
BEAUFORT, SC 29902
Medicare Provider Number
420067
Participating Start Date
1/1/2015
Last Recertification Date
8/16/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #09134
138 OKATIE CENTER BLVD S
OKATIE, SC 29909
Pharmacy Comments
Contract Details
Approval Date
4/2/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/13/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jeffrey L. White, Senior Vice President & CFO
(843) 522-5142
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/2/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session