Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH010640 NORTHERN COUNTIES HEALTH CARE, INC

Covered Entity Details

Entity Name

NORTHERN COUNTIES HEALTH CARE, INC

Subdivision Name

NORTHERN COUNTIES HEALTH CARE, INC.

Type

HRSA-Funded Health Center

340B ID

CH010640

Entity Address

165 Sherman Dr
Saint Johnsbury, VT 05819-9811

Grant Number

H80CS00632

Participating Start Date

9/1/2008

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

WALGREENS #18977
48 CONGRESS ST
MORRISVILLE, VT 05661

Pharmacy Comments

Contract Details

Approval Date

2/8/2018

Contract Begin Date

2/8/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/21/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

Shawn Tester, CEO
(802) 748-9405 Ext: 1513

Contract Pharmacy Representative

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

Signed By Date

2/8/2018

340B Drug Pricing Program Database