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WALGREEN EASTERN CO., INC.
CHC00458-01 SACOPEE VALLEY HEALTH CENTER
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Covered Entity Details
Entity Name
SACOPEE VALLEY HEALTH CENTER
Subdivision Name
Sacopee Valley Health Center
Type
HRSA-Funded Health Center
340B ID
CHC00458-01
Entity Address
202 Maple St UNIT E
Cornish, ME 04020-3147
Grant Number
H80CS00458
Participating Start Date
7/1/2023
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #17364
19 PORTLAND RD
BRIDGTON, ME 04009-1229
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/16/2024
Agreement registered in error
Contacts
Covered Entity Signing Official
Michelle Eastman, Chief Financial Officer
(207) 625-2235
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/11/2023
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