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WALGREEN EASTERN CO., INC.
CH010170 Harbor Health Services, Inc.
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Covered Entity Details
Entity Name
Harbor Health Services, Inc.
Subdivision Name
DANIEL DRISCOLL - NEPONSET HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH010170
Entity Address
398 NEPONSET AVE
DORCHESTER, MA 02122
Grant Number
H80CS00743
Participating Start Date
4/1/2002
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 07734
165 SAMOSET ST
PLYMOUTH, MA 02360-4822
Pharmacy Comments
Contract Details
Approval Date
4/4/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DANIEL J. DRISCOLL, CEO
(617) 533-2300
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/4/2016
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