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Walgreens Central Fill #21400
CHC04215-01 Stanley St Treatment & Resources
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Covered Entity Details
Entity Name
Stanley St Treatment & Resources
Subdivision Name
Stanley Street Treatment Center
Type
HRSA-Funded Health Center
340B ID
CHC04215-01
Entity Address
400 Stanley Street
Suite 100
FALL RIVER, MA 02720-6009
Grant Number
H80CS04215
Participating Start Date
10/1/2011
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21400
Pharmacy Address
44 Cabot Blvd.
Mansfield, MA 02048
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
JULIE Mary ALMOND, CEO
(508) 679-8111 Ext: 205
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2023
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