Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH010170 Harbor Health Services, Inc.

Covered Entity Details

Entity Name

Harbor Health Services, Inc.

Subdivision Name

DANIEL DRISCOLL - NEPONSET HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH010170

Entity Address

398 NEPONSET AVE
DORCHESTER, MA 02122

Grant Number

H80CS00743

Participating Start Date

4/1/2002

Last Recertification Date

2/27/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

WALGREENS #19067
1329 HYDE PARK AVE
HYDE PARK, MA 02136

Pharmacy Comments

Contract Details

Approval Date

4/4/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/9/2022
Pharmacy closed

Contacts

Covered Entity Signing Official

Charles T. Jones, CEO
(617) 533-2350

Contract Pharmacy Representative

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

Signed By Date

4/4/2018

340B Drug Pricing Program Database