Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH011190 OUTER CAPE HEALTH SERVICES, INC.

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

WALGREENS #19659
130 ROUTE 6A
ORLEANS, MA 02653

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

340B Drug Pricing Program Database