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Walgreens Central Fill #21400
CHC12867-00 HARBOR HOMES, INC.
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Covered Entity Details
Entity Name
HARBOR HOMES, INC.
Subdivision Name
Harbor Care Health and Wellness Center
Type
HRSA-Funded Health Center
340B ID
CHC12867-00
Entity Address
45 High Street
Nashua, NH 03060-3312
Grant Number
H80CS12867
Participating Start Date
7/1/2010
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21400
Pharmacy Address
44 Cabot Blvd.
Mansfield, MA 02048
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
Jonathan W Brown, Clinic Director
(603) 484-0722
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2024
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