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WALGREEN EASTERN CO., INC.
HV30726C Portland Community Health Center
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Covered Entity Details
Entity Name
Portland Community Health Center
Subdivision Name
Type
Ryan White Part C
340B ID
HV30726C
Entity Address
196 Allen Avenue
PORTLAND, ME 04103
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
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