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WALGREEN EASTERN CO., INC.
CAH301312-00 HUGGINS HOSPITAL
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Covered Entity Details
Entity Name
HUGGINS HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301312-00
Entity Address
240 SOUTH MAIN STREET
WOLFEBORO, NH 03894-0912
Medicare Provider Number
301312
Participating Start Date
9/29/2010
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #19912
910 ROUTE 16
OSSIPEE, NH 03864-7171
Pharmacy Comments
Contract Details
Approval Date
2/6/2018
Contract Begin Date
2/6/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeremy Roberge, CEO
(603) 569-7507
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
2/6/2018
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