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WALGREEN EASTERN CO., INC.
DSH220052 BROCKTON HOSPITAL, INC
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Covered Entity Details
Entity Name
BROCKTON HOSPITAL, INC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220052
Entity Address
680 CENTRE STREET
BROCKTON, MA 02302
Medicare Provider Number
220052
Participating Start Date
1/1/2004
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 02977
1101 MAIN STREET
BROCKTON, MA 02301
Pharmacy Comments
Contract Details
Approval Date
4/13/2012
Contract Begin Date
4/13/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kim Hollon, President/CEO
(508) 941-7000
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/20/2012
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