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WALGREEN EASTERN CO., INC.
CH010700 BROCKTON NEIGHBORHOOD HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
BROCKTON NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
BROCKTON NEIGHBORHOOD HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH010700
Entity Address
63 Main St
Brockton, MA 02301
Grant Number
H80CS00560
Participating Start Date
4/1/1999
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 02977
1101 MAIN STREET
BROCKTON, MA 02301
Pharmacy Comments
Contract Details
Approval Date
2/8/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SUSAN G. JOSS, Senior Advisor
(508) 894-3203
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2013
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