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WALGREEN EASTERN CO INC
CH010710 SOUTH COVE COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
SOUTH STREET CLINIC
Type
HRSA-Funded Health Center
340B ID
CH010710
Entity Address
145 South St
Boston, MA 02111-2826
Grant Number
H80CS00600
Participating Start Date
7/1/2004
Last Recertification Date
2/11/2025
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
4/11/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
EUGENE WELCH, Special Adivisor to CEO
(617) 521-6703
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/11/2017
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