Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
HV011930 GREATER NEW BEDFORD COMMUNITY HEALTH CENTER

Covered Entity Details

Entity Name

GREATER NEW BEDFORD COMMUNITY HEALTH CENTER

Subdivision Name

HIV EARLY INTERVENTION & TREATMENT PROJ.

Type

Ryan White Part C

340B ID

HV011930

Entity Address

874 PURCHASE STREET
NEW BEDFORD, MA 02740

Grant Number

H76HA00013

Participating Start Date

12/1/1992

Last Recertification Date

1/30/2017

Entity Termination Date

4/1/2018

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS #21414
854 PURCHASE ST
NEW BEDFORD, MA 02740

Pharmacy Comments

Contract Details

Approval Date

1/1/2009

Contract Begin Date

1/1/2009

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2018
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

11/18/2008

340B Drug Pricing Program Database