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WALGREEN EASTERN CO. INC.
CH021520 OPEN DOOR FAMILY MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Subdivision Name
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH021520
Entity Address
165 Main St
Ossining, NY 10562-4702
Grant Number
H80CS00160
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO. INC.
Pharmacy Address
DBA WALGREENS
411 KING ST.
CHAPPAQUA, NY 10514
Pharmacy Comments
Contract Details
Approval Date
10/16/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LINDSAY C. FARRELL, CEO
(914) 941-1263 Ext: 1451
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2015
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