Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
FP019158 HEALTH QUARTERS

Covered Entity Details

Entity Name

HEALTH QUARTERS

Subdivision Name

Type

Family Planning (Title X only)

340B ID

FP019158

Entity Address

100 Cummings Center
Suite 220 B
BEVERLY, MA 01915

Grant Number

FPHPA016205

Participating Start Date

1/1/1998

Last Recertification Date

5/16/2017

Entity Termination Date

7/1/2018

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS # 04393
54 ELLIOTT STREET
BEVERLY, MA 01915

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

7/1/2018
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

340B Drug Pricing Program Database