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WALGREEN EASTERN CO., INC.
CAH471304-00 NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC
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Covered Entity Details
Entity Name
NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH471304-00
Entity Address
189 PROUTY DRIVE
NEWPORT, VT 05855
Medicare Provider Number
471304
Participating Start Date
9/28/2010
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #17625
412 BROAD ST
LYNDONVILLE, VT 05851
Pharmacy Comments
Contract Details
Approval Date
1/11/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tracey L. Paul, CFO
(802) 334-3271 Ext: 271
Contract Pharmacy Representative
North Country Hospital
Tracey L. Paul, CFO
(802) 334-3271 Ext: 271
Signed By Date
1/11/2022
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