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WALGREENS SPECIALTY PHARMACY, LLC
FP03584 WEEKS MEDICAL CENTER
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Covered Entity Details
Entity Name
WEEKS MEDICAL CENTER
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP03584
Entity Address
173 MIDDLE ST
LANCASTER, NH 03584
Grant Number
FPHPA016063
Participating Start Date
10/1/2000
Last Recertification Date
5/5/2021
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
10/6/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2016
Agreement registered in error
Contacts
Covered Entity Signing Official
CELESTE PITTS, Vice President of Finance
(603) 788-5321
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/6/2015
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