Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH013280 D.F.D. RUSSELL MEDICAL CENTER, INC.

Covered Entity Details

Entity Name

D.F.D. RUSSELL MEDICAL CENTER, INC.

Subdivision Name

DFD RUSSELL MEDICAL CENTER - LEEDS

Type

HRSA-Funded Health Center

340B ID

CH013280

Entity Address

180 Church Hill Rd
Leeds, ME 04263-3418

Grant Number

H80CS00642

Participating Start Date

1/1/2001

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS #11373
403 WATER ST.
AUGUSTA, ME 04330

Pharmacy Comments

Contract Details

Approval Date

7/11/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/24/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

Laurie Kane-Lewis, CEO
(207) 524-4001

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/11/2014

340B Drug Pricing Program Database