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WALGREEN EASTERN CO., INC.
CH010760B Amoskeag Health
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Covered Entity Details
Entity Name
Amoskeag Health
Subdivision Name
Amoskeag Health at 1245 Elm Street
Type
HRSA-Funded Health Center
340B ID
CH010760B
Entity Address
1245 ELM ST
MANCHESTER, NH 03101-1308
Grant Number
H80CS00571
Participating Start Date
4/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 04689
606 VALLEY STREET
MANCHESTER, NH 03103
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kris McCracken, President/CEO
(603) 935-5210
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2024
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