Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CAH201300-00 BLUE HILL MEMORIAL HOSPITAL

Covered Entity Details

Entity Name

BLUE HILL MEMORIAL HOSPITAL

Subdivision Name

Type

Critical Access Hospital

340B ID

CAH201300-00

Entity Address

57 WATER STREET
BLUE HILL, ME 04614

Medicare Provider Number

201300

Participating Start Date

1/1/2011

Last Recertification Date

9/9/2024

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

WALGREENS #17149
220 US ROUTE 1
BUCKSPORT, ME 04416

Pharmacy Comments

Contract Details

Approval Date

2/2/2018

Contract Begin Date

2/7/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Wendy J Jones, VP of Finance
(207) 374-3409

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

2/2/2018

340B Drug Pricing Program Database