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Walgreens Central Fill #21400
CH011460 LOWELL COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
LOWELL COMMUNITY HEALTH CENTER, INC.
Subdivision Name
ACCOUNTS PAYABLE
Type
HRSA-Funded Health Center
340B ID
CH011460
Entity Address
161 Jackson Street
LOWELL, MA 01852-2103
Grant Number
H80CS00397
Participating Start Date
4/1/1997
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21400
Pharmacy Address
44 Cabot Blvd.
Mansfield, MA 02048
Pharmacy Comments
Contract Details
Approval Date
7/12/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Timothy Regan, Sr. Dir. Contracts and Compliance
(978) 937-9700
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/12/2023
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