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WALGREEN CO.
PED453316-00 Children’s Medical Center Plano
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Covered Entity Details
Entity Name
Children’s Medical Center Plano
Subdivision Name
Type
Children's Hospital
340B ID
PED453316-00
Entity Address
7601 Preston Road
Plano, TX 75024-3214
Medicare Provider Number
453316
Participating Start Date
4/1/2017
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04013
18207 MIDWAY ROAD
DALLAS, TX 75287
Pharmacy Comments
Contract Details
Approval Date
4/17/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/6/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David T Berry, CHST President, System Clinical Operations
(214) 456-2143
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/17/2017
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