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WALGREEN EASTERN CO., INC.
CH02152T OPEN DOOR FAMILY MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Subdivision Name
Webutuck SBHC
Type
HRSA-Funded Health Center
340B ID
CH02152T
Entity Address
194 Haight Road
Amenia, NY 12501-0405
Grant Number
H80CS00160
Participating Start Date
10/1/2022
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #17219
76 MAIN ST.
CANAAN, CT 06018
Pharmacy Comments
Contract Details
Approval Date
7/19/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lindsay Farrell, President and CEO
(914) 502-1450
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/19/2023
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