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WALGREEN EASTERN CO., INC.
CHC08769-00 PINES HEALTH SERVICES
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Covered Entity Details
Entity Name
PINES HEALTH SERVICES
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CHC08769-00
Entity Address
74 ACCESS HIGHWAY
CARIBOU, ME 04736
Grant Number
H80CS08769
Participating Start Date
4/1/2009
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #19019
355 MAIN ST
FORT FAIRFIELD, ME 04742-1143
Pharmacy Comments
Contract Details
Approval Date
3/29/2018
Contract Begin Date
3/30/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/23/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Kris Doody, CEO
(207) 498-2356
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
3/29/2018
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