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WALGREEN EASTERN CO., INC.
CH010860 NORTH SHORE COMMUNITY HEALTH CENTER, INC
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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 # 02063
29 NEW DERBY STREET
SALEM, MA 01970
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
2/1/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JOHN HILDRETH, CFO
(978) 825-1137
Contract Pharmacy Representative
Signed By Date
12/8/2009
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