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WALGREEN CO.
CAH501315-00 Klickitat County Public Hospital District #2, d/b/a Skyline Hospital
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Covered Entity Details
Entity Name
Klickitat County Public Hospital District #2, d/b/a Skyline Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501315-00
Entity Address
211 Skyline Drive
White Salmon, WA 98672-0099
Medicare Provider Number
501315
Participating Start Date
1/1/2014
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09651
515 MT HOOD ST
THE DALLES, OR 97058
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/23/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brenda Schneider, CFO
(509) 637-2901
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/12/2018
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