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WALGREEN EASTERN CO., INC.
CAH201305-00 Calais Community Hospital
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Covered Entity Details
Entity Name
Calais Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201305-00
Entity Address
24 HOSPITAL LANE
CALAIS, ME 04619
Medicare Provider Number
201305
Participating Start Date
9/28/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #17455
223 NORTH ST
CALAIS, ME 04619
Pharmacy Comments
Contract Details
Approval Date
2/13/2018
Contract Begin Date
2/13/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Diane Maheux, CHIEF FINANCIAL OFFICER
(207) 454-9229
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
2/13/2018
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