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WALGREEN EASTERN CO., INC.
CH011280 DIMOCK COMM HEALTH CENTER
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Covered Entity Details
Entity Name
DIMOCK COMM HEALTH CENTER
Subdivision Name
DIMOCK COMM HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH011280
Entity Address
45 DIMOCK ST
ROXBURY, MA 02119
Grant Number
H80CS00151
Participating Start Date
7/1/2003
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #15001
980 AMERICAN LEGION HWY
ROSLINDALE, MA 02131-4701
Pharmacy Comments
02/25/2013 corrected address error (was store #05756); 11/05/2012 store relocation (was Walgreens #1849 972 AMERICAN LEGION HWY ROSLINDALE MA 02131)
Contract Details
Approval Date
1/9/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Myechia minter-Jordan, CEO
(617) 442-8800 Ext: 1201
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/9/2014
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