340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN EASTERN CO., INC.
HV30726D Portland Community Health Center
Print
Covered Entity Details
Entity Name
Portland Community Health Center
Subdivision Name
Type
Ryan White Part C
340B ID
HV30726D
Entity Address
211 Cumberland Avenue
PORTLAND, ME 04101
Grant Number
H76HA30726
Participating Start Date
4/1/2020
Last Recertification Date
2/15/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #19162
698 MINOT AVE
AUBURN, ME 04210
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ann Tucker, Chief Executive Officer
(207) 874-2141 Ext: 3886
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2020
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