340B Drug Pricing Program Database
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WALGREEN EASTERN CO., INC.
DSH220001 HealthAlliance-Clinton Hospital
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Covered Entity Details
Entity Name
HealthAlliance-Clinton Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220001
Entity Address
60 HOSPITAL ROAD
LEOMINSTER, MA 01453
Medicare Provider Number
220001
Participating Start Date
10/1/2004
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #12558
571 JOHN FITCH HWY
FITCHBURG, MA 01420
Pharmacy Comments
Contract Details
Approval Date
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven McCue, Chief Financial Officer
(508) 486-5804
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2021
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