Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH010860 NORTH SHORE COMMUNITY HEALTH CENTER, INC

Covered Entity Details

Entity Name

NORTH SHORE COMMUNITY HEALTH CENTER, INC

Subdivision Name

SALEM FAMILY HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH010860

Entity Address

47 Congress St
Salem, MA 01970-7308

Grant Number

H80CS00494

Participating Start Date

10/1/1998

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS # 02208
35 MAIN ST
PEABODY, MA 01960

Pharmacy Comments

Contract Details

Approval Date

10/20/2011

Contract Begin Date

4/5/2010

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

JOHN HILDRETH, CFO
(978) 825-1137

Contract Pharmacy Representative

Signed By Date

3/5/2010

340B Drug Pricing Program Database