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WALGREEN EASTERN CO., INC.
CH02179W HUDSON HEADWATERS HEALTH NETWORK
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Covered Entity Details
Entity Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
Hadley-Luzerne Student Health
Type
HRSA-Funded Health Center
340B ID
CH02179W
Entity Address
27 Hyland Dr
Lake Luzerne, NY 12846-3923
Grant Number
H80CS00159
Participating Start Date
1/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #17365
3739 BURGOYNE AVE
HUDSON FALLS, NY 12839-1270
Pharmacy Comments
Contract Details
Approval Date
1/12/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Tournier, CFO
(518) 761-0300 Ext: 31558
Contract Pharmacy Representative
WALGREENS CO
KARL MEEHAN, VICE PRESIDENT,HEALTH SYSTEMS PROGRAMS
(847) 315-2663
Signed By Date
1/12/2023
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