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WALGREEN EASTERN CO., INC.
DSH330276 NATHAN LITTAUER HOSPITAL
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Covered Entity Details
Entity Name
NATHAN LITTAUER HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330276
Entity Address
99 EAST STATE STREET
GLOVERSVILLE, NY 12078
Medicare Provider Number
330276
Participating Start Date
10/1/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #18296
147 N COMRIE AVE
JOHNSTOWN, NY 12095
Pharmacy Comments
Contract Details
Approval Date
2/27/2018
Contract Begin Date
2/27/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Ostrander, Vice President-Finance & CFO
(518) 773-5480
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
2/27/2018
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