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WALGREENS SPECIALTY PHARMACY, LLC
DSH450176 MISSION HOSPITAL
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Covered Entity Details
Entity Name
MISSION HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450176
Entity Address
900 SOUTH BRYAN
MISSION, TX 78572
Medicare Provider Number
450176
Participating Start Date
10/1/2016
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
10/28/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/8/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Timothy J. McVey, Chief Financial Officer
(956) 323-9106
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/28/2016
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