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WALGREEN EASTERN CO., INC.
CH011640 MANET COMMUNITY HEALTH CENTER, INCORPORATED
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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 #11831
324 HANCOCK STREET
QUINCY, MA 02171-2258
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
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