340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN EASTERN CO., INC.
DSH220086BP BETH ISRAEL DEACONESS MEDICAL CENTER
Print
Covered Entity Details
Entity Name
BETH ISRAEL DEACONESS MEDICAL CENTER
Subdivision Name
LOWRY MEDICAL OFFICE - LIVER CLINIC
Type
Disproportionate Share Hospital
340B ID
DSH220086BP
Entity Address
110 FRANCIS STREET
BOSTON, MA 02215
Medicare Provider Number
220086
Outpatient Facility Provider Number
Participating Start Date
1/1/2019
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 04729
951 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Pharmacy Comments
Contract Details
Approval Date
4/21/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matthew Larkin, Chief Operating Officer
(617) 677-7144
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/21/2023
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