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WALGREEN EASTERN CO., INC.
FP018306 HEALTH QUARTERS
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Covered Entity Details
Entity Name
HEALTH QUARTERS
Subdivision Name
Haverhill Site
Type
Family Planning (Title X only)
340B ID
FP018306
Entity Address
215 SUMMER STREET
Suite 16
HAVERHILL, MA 01830
Grant Number
FPHPA006425-01-00
Participating Start Date
1/1/1998
Last Recertification Date
6/6/2019
Entity Termination Date
7/1/2020
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
7/1/2020
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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