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WALGREEN EASTERN CO., INC.
CH01347A SAINT CROIX REGIONAL FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
SAINT CROIX REGIONAL FAMILY HEALTH CENTER
Subdivision Name
EAST GRAND HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH01347A
Entity Address
201 HOULTON RD
DANFORTH, ME 04424
Grant Number
H80CS00526
Participating Start Date
7/1/2005
Last Recertification Date
2/15/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #17455
223 NORTH ST
CALAIS, ME 04619
Pharmacy Comments
Contract Details
Approval Date
10/2/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Corinne A. LaPlant, CEO
(207) 796-5503
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/2/2018
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