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WALGREEN EASTERN CO., INC.
STD060331 WORLD HEALTH CLINICIANS
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Covered Entity Details
Entity Name
WORLD HEALTH CLINICIANS
Subdivision Name
CIRCLE CARE CENTER
Type
Sexually Transmitted Diseases
340B ID
STD060331
Entity Address
300 Hebron Avenue
113
Glastonbury, CT 06033
Grant Number
6NH25PS005155
Participating Start Date
1/1/2024
Last Recertification Date
5/13/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16566
368 BROADWAY
PATERSON, NJ 07501
Pharmacy Comments
Contract Details
Approval Date
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/14/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Anthony Howard Crisci, President & CEO
(203) 852-9525 Ext: 326
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/9/2024
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