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WALGREEN EASTERN CO., INC.
RRC070028-00 ST. VINCENTS MEDICAL CENTER
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Covered Entity Details
Entity Name
ST. VINCENTS MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC070028-00
Entity Address
2800 MAIN STREET
BRIDGEPORT, CT 06606-4201
Medicare Provider Number
070028
Participating Start Date
10/8/2021
Last Recertification Date
9/19/2022
Entity Termination Date
1/13/2023
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16548
300 FAIRFIELD AVE STE 103
BRIDGEPORT, CT 06604
Pharmacy Comments
Contract Details
Approval Date
10/7/2021
Contract Begin Date
10/8/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/13/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Christopher Given, VP, Finance
(475) 210-6193
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/6/2021
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