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WALGREEN CO.
CAH511309-00 WAR MEMORIAL HOSPITAL INC
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Covered Entity Details
Entity Name
WAR MEMORIAL HOSPITAL INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511309-00
Entity Address
1 HEALTHY WAY
BERKELEY SPRINGS, WV 25411
Medicare Provider Number
511309
Participating Start Date
9/30/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #17806
8 GAYLE DR
BERKELEY SPRINGS, WV 25411-6300
Pharmacy Comments
Contract Details
Approval Date
3/7/2018
Contract Begin Date
3/7/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peter F. Gallagher, CFO
(540) 536-8031
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
3/7/2018
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