Contract Pharmacy Details

WALGREEN EASTERN CO INC
CH010600 FENWAY COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

FENWAY COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Fenway Health, Ansin Building

Type

HRSA-Funded Health Center

340B ID

CH010600

Entity Address

1340 Boylston St
Boston, MA 02215

Grant Number

H80CS00303

Participating Start Date

1/1/2004

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO INC

Pharmacy Address

WALGREENS SPECIALTY PHARMACY #15307
21 STANHOPE STREET #23
BOSTON, MA 02116

Pharmacy Comments

Contract Details

Approval Date

7/5/2012

Contract Begin Date

7/5/2012

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

JEFFREY LIEBERMAN, VP of Finance
(617) 927-6173

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/5/2012

340B Drug Pricing Program Database