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WALGREEN EASTERN CO., INC.
HV011930 GREATER NEW BEDFORD COMMUNITY HEALTH CENTER
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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 # 06226
220 HUTTLESTON AVE
FAIRHAVEN, MA 02719-1959
Pharmacy Comments
Contract Details
Approval Date
4/15/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/11/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Peter Georgeopoulos, President/CEO
(508) 992-6553 Ext: 220
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2014
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