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WALGREEN EASTERN CO., INC.
CH010340 Bucksport Regional Health Center
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Covered Entity Details
Entity Name
Bucksport Regional Health Center
Subdivision Name
BUCKSPORT REGIONAL HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH010340
Entity Address
110 Broadway
Bucksport, ME 04416
Grant Number
H80CS00591
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #17708
17 SOUTH ST
BLUE HILL, ME 04614-6109
Pharmacy Comments
Contract Details
Approval Date
4/12/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carol Carew, CEO
(207) 469-7371 Ext: 214
Contract Pharmacy Representative
Walgreen Co.
Enrique Anza, Sr. Analyst, 340B Client Relationship
(847) 964-6160
Signed By Date
4/12/2023
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