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WALGREEN EASTERN CO., INC.
CH02179AG HUDSON HEADWATERS HEALTH NETWORK
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Covered Entity Details
Entity Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
Hudson Headwaters Mobile Health Unit 1
Type
HRSA-Funded Health Center
340B ID
CH02179AG
Entity Address
27 Carey Rd
Queensbury, NY 12804-7880
Grant Number
H80CS00159
Participating Start Date
10/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #19494
92 MAIN ST
HUDSON FALLS, NY 12839-2216
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laura Pasco, EVP, Chief Financial Officer
(518) 761-0300 Ext: 31553
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2024
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