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WALGREEN EASTERN CO., INC.
CHC25680-03 PORTLAND COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
PORTLAND COMMUNITY HEALTH CENTER
Subdivision Name
Greater Portland Health at 59 Riverton Drive
Type
HRSA-Funded Health Center
340B ID
CHC25680-03
Entity Address
59 Riverton Dr
Portland, ME 04103-1050
Grant Number
H80CS25680
Participating Start Date
7/1/2015
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #12325
616 FOREST AVE
PORTLAND, ME 04101-1510
Pharmacy Comments
Contract Details
Approval Date
4/16/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
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