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WALGREEN EASTERN CO., INC
CAH201313-00 Sebasticook Valley Health
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Covered Entity Details
Entity Name
Sebasticook Valley Health
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201313-00
Entity Address
447 NORTH MAIN STREET
PITTSFIELD, ME 04967
Medicare Provider Number
201313
Participating Start Date
7/1/2011
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC
Pharmacy Address
WALGREENS #17355
66 MOOSEHEAD TRL
NEWPORT, ME 04953
Pharmacy Comments
Contract Details
Approval Date
1/31/2018
Contract Begin Date
2/7/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RANDALL CLARK, PRESIDENT
(207) 487-4022
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/31/2018
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