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WALGREEN EASTERN CO., INC.
STD029071 Rhode Island Public Health Institute
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Covered Entity Details
Entity Name
Rhode Island Public Health Institute
Subdivision Name
DBA Open Door Health
Type
Sexually Transmitted Diseases
340B ID
STD029071
Entity Address
7-9 Central Street
Providence, RI 02907
Grant Number
NH25PS005160
Participating Start Date
1/1/2020
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #19844
500 BROAD ST STE 6
PROVIDENCE, RI 02907-1367
Pharmacy Comments
Contract Details
Approval Date
7/12/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/27/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Lynne Malone, Chief Financial & Administrative Officer
(401) 952-1682
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/12/2023
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