340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
DSH140113 OSF Heart of Mary Medical Center
Print
Covered Entity Details
Entity Name
OSF Heart of Mary Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140113
Entity Address
1400 WEST PARK STREET
URBANA, IL 61801
Medicare Provider Number
140113
Participating Start Date
10/1/2015
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09611
841 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Deborah Schimerowski, Regional CFO
(815) 725-7133 Ext: 7667
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2016
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