340B Drug Pricing Program Database

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS #11285
706 BROADWAY
BANGOR, ME 04401

Pharmacy Comments

Approval Date

7/14/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

James Raczek, COO, CMO, Senior VP
(207) 973-7026

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/14/2014