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WALGREEN EASTERN CO., INC.
CH011830 CHARTER OAK HEALTH CENTER
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Covered Entity Details
Entity Name
CHARTER OAK HEALTH CENTER
Subdivision Name
CHARTER OAK HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH011830
Entity Address
21 Grand St
Hartford, CT 06106-1541
Grant Number
H80CS00153
Participating Start Date
1/1/2004
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 09784
20 CONNECTICUT BLVD
EAST HARTFORD, CT 06108-3007
Pharmacy Comments
Contract Details
Approval Date
7/15/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nichele A. Mullins, President and CEO
(860) 550-7578
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2016
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