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Walgreens Central Fill #21400
CHC10611-06 Lamoille Health Partners, Inc.
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Covered Entity Details
Entity Name
Lamoille Health Partners, Inc.
Subdivision Name
Lamoille Health Family Dentistry
Type
HRSA-Funded Health Center
340B ID
CHC10611-06
Entity Address
66 Morrisville Plz
Morrisville, VT 05661-4482
Grant Number
H80CS10611
Participating Start Date
10/1/2019
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21400
Pharmacy Address
44 Cabot Blvd.
Mansfield, MA 02048
Pharmacy Comments
Contract Details
Approval Date
7/10/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stuart G May, President / CEO
(802) 888-0901
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/10/2023
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