340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN EASTERN CO., INC.
SCH200050-00 MAINE COAST MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
MAINE COAST MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH200050-00
Entity Address
50 UNION STREET
ELLSWORTH, ME 04605
Medicare Provider Number
200050
Participating Start Date
4/1/2020
Last Recertification Date
9/9/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #17481
144 DUBLIN ST
MACHIAS, ME 04654
Pharmacy Comments
Contract Details
Approval Date
3/12/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Wendy J Jones, VP of Finance
(207) 374-3409
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session