340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walgreens Central Fill #21400
CAH201308-00 HOULTON REGIONAL HOSPITAL
Print
Covered Entity Details
Entity Name
HOULTON REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201308-00
Entity Address
20 HARTFORD STREET
HOULTON, ME 04730
Medicare Provider Number
201308
Participating Start Date
9/15/2010
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21400
Pharmacy Address
44 Cabot Blvd.
Mansfield, MA 02048
Pharmacy Comments
Contract Details
Approval Date
10/3/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CYNTHIA THOMPSON, CFO
(207) 532-2900 Ext: 2142
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/3/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session