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WALGREEN EASTERN CO., INC.
CH011930 GREATER NEW BEDFORD COMMUNITY HEALTH CENTER,INC.
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Covered Entity Details
Entity Name
GREATER NEW BEDFORD COMMUNITY HEALTH CENTER,INC.
Subdivision Name
GREATER NEW BEDFORD COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH011930
Entity Address
874 Purchase St
New Bedford, MA 02740-6232
Grant Number
H80CS00511
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #10375
2968 ACUSHNET AVE
NEW BEDFORD, MA 02745-3620
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
5/23/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
5/16/2011
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