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Walgreens Central Fill #21400
HV24741 MaineGeneral Medical Center
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Covered Entity Details
Entity Name
MaineGeneral Medical Center
Subdivision Name
Horizon Program
Type
Ryan White Part C
340B ID
HV24741
Entity Address
21 Enterprise Drive
Augusta, ME 04330
Grant Number
H76HA24741
Participating Start Date
1/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21400
Pharmacy Address
44 Cabot Blvd.
Mansfield, MA 02048
Pharmacy Comments
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Megan Evans, Medical Director
(207) 626-1051
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/17/2023
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