340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walgreens Central Fill #21400
CAH301302-00 LITTLETON REGIONAL HOSPITAL
Print
Covered Entity Details
Entity Name
LITTLETON REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301302-00
Entity Address
600 ST. JOHNSBURY ROAD
LITTLETON, NH 03561
Medicare Provider Number
301302
Participating Start Date
4/1/2011
Last Recertification Date
9/6/2024
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
Robert F. Nutter, President & CEO
(603) 444-9000
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session