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WALGREEN EASTERN CO., INC.
CH019980 GOODWIN COMMUNITY HEALTH
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Covered Entity Details
Entity Name
GOODWIN COMMUNITY HEALTH
Subdivision Name
Somersworth Facility
Type
HRSA-Funded Health Center
340B ID
CH019980
Entity Address
311 Route 108
Somersworth, NH 03878-1522
Grant Number
H80CS04210
Participating Start Date
4/1/2001
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #10780
1 GLENWOOD AVE.
DOVER, NH 03820-2406
Pharmacy Comments
Contract Details
Approval Date
7/14/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Janet Laatsch, Executive Director
(603) 516-2550
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/14/2015
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