340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN EASTERN CO., INC.
CHC25680-00 PORTLAND COMMUNITY HEALTH CENTER
Print
Covered Entity Details
Entity Name
PORTLAND COMMUNITY HEALTH CENTER
Subdivision Name
Greater Portland Health at 180 Park Avenue
Type
HRSA-Funded Health Center
340B ID
CHC25680-00
Entity Address
180 Park Ave
Portland, ME 04102-2957
Grant Number
H80CS25680
Participating Start Date
10/1/2013
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #11886
127 MARGINAL WAY STE 3
PORTLAND, ME 04101
Pharmacy Comments
Contract Details
Approval Date
1/7/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ann Tucker, Chief Financial Officer
(207) 874-2141 Ext: 3886
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/7/2014
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session