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WALGREEN EASTERN CO., INC.
CHC07928-00 SOUTH BOSTON COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SOUTH BOSTON COMMUNITY HEALTH CENTER, INC.
Subdivision Name
SOUTH BOSTON COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC07928-00
Entity Address
409 W Broadway
Boston, MA 02127-2245
Grant Number
H80CS07928
Participating Start Date
4/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #19437
1100 DORCHESTER AVE
DORCHESTER, MA 02125
Pharmacy Comments
Contract Details
Approval Date
4/13/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
WILLIAM J. HALPIN Jr., CEO
(617) 464-7509
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/13/2018
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