340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

WALGREENS SPECIALTY PHARMACY, LLC
CAH051309-01 JEROLD PHELPS COMMUNITY HOSPITAL

Covered Entity Details

SOUTHERN HUMBOLDT COMMUNITY CLINIC
Critical Access Hospital
CAH051309-01
509 ELM STREET
GARBERVILLE, CA 95542
051309
7/1/2017
8/20/2024


Pharmacy Details

ALLIANCERX WALGREENS PRIME #12314
9775 SW GEMINI DR, STE 1
BEAVERTON, OR 97008

Contract Details

10/11/2017
1/1/2018

8/14/2023
Pharmacy closed


Contacts


Paul M. Eves, Chief Financial Officer
(707) 923-3921 Ext: 291



Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
10/11/2017