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Walgreens Central Fill #21400
CH011720 Duffy Health Center, Inc.
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Covered Entity Details
Entity Name
Duffy Health Center, Inc.
Subdivision Name
St. Joseph's House
Type
HRSA-Funded Health Center
340B ID
CH011720
Entity Address
77 Winter St.
Hyannis, MA 02601-5553
Grant Number
H80CS00271
Participating Start Date
10/1/2002
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21400
Pharmacy Address
44 Cabot Blvd.
Mansfield, MA 02048
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Heidi Nelson, CEO
(508) 771-7517 Ext: 101
Contract Pharmacy Representative
Walgreen Co.
Brittany Daurio, Analyst, 340B Client Relationship
(847) 315-6167
Signed By Date
1/17/2023
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