Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH015110 HEALTH ACCESS NETWORK

Covered Entity Details

Entity Name

HEALTH ACCESS NETWORK

Subdivision Name

Health Access Network Lincoln

Type

HRSA-Funded Health Center

340B ID

CH015110

Entity Address

175 WEST BROADWAY
LINCOLN, ME 04457

Grant Number

H80CS02450

Participating Start Date

1/1/2004

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

WALGREENS #18307
720 CENTRAL ST
MILLINOCKET, ME 04462

Pharmacy Comments

Contract Details

Approval Date

2/5/2018

Contract Begin Date

2/5/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/10/2020
Pharmacy closed

Contacts

Covered Entity Signing Official

Mike Osborne, CFO
(207) 794-6700 Ext: 7510

Contract Pharmacy Representative

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

Signed By Date

2/5/2018

340B Drug Pricing Program Database