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WALGREEN EASTERN CO., INC.
CH01086A NORTH SHORE COMMUNITY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
NORTH SHORE COMMUNITY HEALTH CENTER, INC
Subdivision Name
Gloucester Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH01086A
Entity Address
302 Washington St
Gloucester, MA 01930-4836
Grant Number
H80CS00494
Participating Start Date
9/30/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 02208
35 MAIN ST
PEABODY, MA 01960
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
4/5/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JOHN HILDRETH, CFO
(978) 825-1137
Contract Pharmacy Representative
Signed By Date
3/5/2010
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