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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 # 04393
54 ELLIOTT STREET
BEVERLY, MA 01915
Pharmacy Comments
Contract Details
Approval Date
4/15/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/11/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
Margaret Brennan, CHIEF EXECUTIVE OFFICER
(978) 825-1109
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2014
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