Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH01337A First Choice Health Centers, Inc.

Covered Entity Details

Entity Name

First Choice Health Centers, Inc.

Subdivision Name

First Choice Health Centers (Suite 240)

Type

HRSA-Funded Health Center

340B ID

CH01337A

Entity Address

150 N Main St
Suite 240
Manchester, CT 06042-2086

Grant Number

H80CS00262

Participating Start Date

1/1/2004

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS # 05407
295 MAIN STREET
MANCHESTER, CT 06040

Pharmacy Comments

Contract Details

Approval Date

10/20/2011

Contract Begin Date

9/7/2005

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

7/27/2005

340B Drug Pricing Program Database