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WALGREEN EASTERN CO., INC.
CH011190 OUTER CAPE HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
OUTER CAPE HEALTH SERVICES, INC.
Subdivision Name
PROVINCETOWN HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH011190
Entity Address
49 Harry Kemp Way
Provincetown, MA 02657-1618
Grant Number
H80CS00468
Participating Start Date
4/1/2002
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #10460
1041ROUTE 28
SOUTH YARMOUTH, MA 02664-4115
Pharmacy Comments
Contract Details
Approval Date
7/7/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patricia Nadle, CEO
(508) 905-2800
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/7/2023
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