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WALGREEN EASTERN CO., INC.
FP019159 Health Quarters
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Covered Entity Details
Entity Name
Health Quarters
Subdivision Name
Beverly Site
Type
Family Planning (Title X only)
340B ID
FP019159
Entity Address
100 Cummings Center
Suite 131-Q
Beverly, MA 01915
Grant Number
FPHPA006425-01-00
Participating Start Date
1/1/2013
Last Recertification Date
6/6/2019
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 09614
310 MAIN ST
HAVERHILL, MA 01830-5045
Pharmacy Comments
Contract Details
Approval Date
10/14/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Carol Hayes, Director of Finance
(978) 927-9824 Ext: 2103
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2014
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