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WALGREEN EASTERN CO., INC.
CAH301309-00 MONADNOCK COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
MONADNOCK COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301309-00
Entity Address
452 OLD STREET ROAD
PETERBOROUGH, NH 03458
Medicare Provider Number
301309
Participating Start Date
9/29/2010
Last Recertification Date
9/16/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #17173
1640 S MAIN ST
ATHOL, MA 01331
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/28/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Richard Scheinblum, CFO
(603) 924-4699 Ext: 1738
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2019
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