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WALGREEN EASTERN CO., INC.
CAH471304-00 NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC
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Covered Entity Details
Entity Name
NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH471304-00
Entity Address
189 PROUTY DRIVE
NEWPORT, VT 05855
Medicare Provider Number
471304
Participating Start Date
9/28/2010
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
RITE AID #04159
4408 U S ROUTE 5
NEWPORT, VT 05855
Pharmacy Comments
Contract Details
Approval Date
2/14/2018
Contract Begin Date
2/14/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/28/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
ANDRE BISSONETTE, V.P. FINANCE (C.F.O.)
(802) 334-3253
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President,
(847) 315-2663
Signed By Date
2/14/2018
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