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
CAH061305-00 East Phillips County Hospital District d/b/a MELISSA MEMORIAL HOSPITAL

Covered Entity Details

Critical Access Hospital
CAH061305-00
1001 East JOHNSON ST
HOLYOKE, CO 80734
061305
1/1/2015
8/14/2024


Pharmacy Details

ALLIANCERX WALGREENS PHARMACY #15438
41460 HAGGERTY CIRCLE SOUTH
CANTON, MI 48188

Contract Details

4/20/2018
7/1/2018

7/19/2020
Business decision by covered entity and/or pharmacy


Contacts


Trampas Hutches, CEO
(970) 854-2241 Ext: 226



Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
4/20/2018