Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH011640 MANET COMMUNITY HEALTH CENTER, INCORPORATED

Covered Entity Details

Entity Name

MANET COMMUNITY HEALTH CENTER, INCORPORATED

Subdivision Name

MANET COMMUNITY HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH011640

Entity Address

110 W Squantum St
Quincy, MA 02171-2122

Grant Number

H80CS00453

Participating Start Date

4/1/2003

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS # 04403
418 QUINCY AVENUE
QUINCY, MA 02169

Pharmacy Comments

Contract Details

Approval Date

10/20/2011

Contract Begin Date

12/1/2010

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

10/6/2010

340B Drug Pricing Program Database