Covered Entity Details

CH01208EL COMMUNITY HEALTH CENTER, INCORPORATED (Active) - information as of 5/1/2025 11:46:49 PM

Main Details

Name

COMMUNITY HEALTH CENTER, INCORPORATED

Subdivision Name

North Haven Middle School SBHC

Type

HRSA-Funded Health Center

Site ID

BPS-H80-028204

340B ID

CH01208EL

Grant Number

H80CS00326

Additional Details

Current Program Status

Active

Registration Date

1/8/2020

Participating Start Date

4/1/2020

Participating Approval Date

1/10/2020

Last Recertification Date

2/14/2025

Contacts

Authorizing Official

Community Health Center, Inc
Mark Masselli, President and CEO
(860) 347-6971

Primary Contact

Community Health Center, Inc.
MARGARET FLINTER, VP/CLINICAL DIRECTOR
(860) 347-6971

Addresses

Street Address

55 Bailey Rd
North Haven, CT 06473-2652

Billing Address

Community Health Center
19 Grand Street
Middletown, CT 06457

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
CT	004236346	1952591851

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH012080	Active	BPS-H80-010147	COMMUNITY HEALTH CENTER, INCORPORATED	CHC of Middletown	675 Main St	Middletown	CT
CH01208A	Active	BPS-H80-000729	COMMUNITY HEALTH CENTER, INCORPORATED	COMMUNITY HEALTH CENTER OF NEW LONDON	1 Shaws Cv	New London	CT
CH01208AA	Active	BPS-H80-001832	COMMUNITY HEALTH CENTER, INCORPORATED	ROGER SHERMAN ELEMENTARY SCHOOL - SBHC	64 N Pearl St	Meriden	CT
CH01208AB	Terminated	BPS-H80-002695	COMMUNITY HEALTH CENTER, INCORPORATED	FAMILY WELLNESS CENTER	635 Main St	Middletown	CT
CH01208AC	Active	BPS-H80-004509	COMMUNITY HEALTH CENTER, INCORPORATED	COMMUNITY HEALTH CENTER OF MIDDLETOWN	635 Main St	Middletown	CT
CH01208AD	Active	BPS-H80-005156	COMMUNITY HEALTH CENTER, INCORPORATED	MERI CARE DENTAL CENTER	165 MILLER ST	MERIDEN	CT
CH01208AE	Terminated	BPS-H80-006004	COMMUNITY HEALTH CENTER, INCORPORATED	NORWALK SMILES AT BEN FRANKLIN - SBHC	165 FLAX HILL RD	NORWALK	CT
CH01208AF	Active	BPS-H80-006037	COMMUNITY HEALTH CENTER, INCORPORATED	NATHAN HALE ELEMENTARY SCHOOL - SBHC	277 ATKINS STREET	MERIDEN	CT
CH01208AG	Active	BPS-H80-006107	COMMUNITY HEALTH CENTER, INCORPORATED	THE INTERDISTRICT SCHOOL FOR ARTS AND COMMUNICATION (ISAAC) - SBHC	190 GOVERNOR WINTHROP BLVD	NEW LONDON	CT
CH01208AH	Terminated	BPS-H80-006108	COMMUNITY HEALTH CENTER, INCORPORATED	NORWALK SMILES AT NATHANIEL ELY HEAD START - SBHC	11 Ingalls Ave	Norwalk	CT
CH01208AJ	Terminated	BPS-H80-006203	COMMUNITY HEALTH CENTER, INCORPORATED	THOMAS HOOKER ELEMENTARY SCHOOL	70 Overlook Dr	Meriden	CT
CH01208AK	Active	BPS-H80-006281	COMMUNITY HEALTH CENTER, INCORPORATED	ISRAEL PUTNAM ELEMENTARY SCHOOL - SBHC	133 PARKER AVE	MERIDEN	CT
CH01208AL	Active	BPS-H80-006646	COMMUNITY HEALTH CENTER, INCORPORATED	MALONEY HIGH SCHOOL - SBHC	121 Gravel St	Meriden	CT
CH01208AM	Active	BPS-H80-006690	COMMUNITY HEALTH CENTER, INCORPORATED	LINCOLN MIDDLE SCHOOL - SBHC	164 CENTENNIAL AVE	MERIDEN	CT
CH01208AN	Active	BPS-H80-006831	COMMUNITY HEALTH CENTER, INCORPORATED	WASHINGTON MIDDLE SCHOOL - SBHC	1225 N Broad St	Meriden	CT
CH01208AP	Active	BPS-H80-007042	COMMUNITY HEALTH CENTER, INCORPORATED	PLATT HIGH SCHOOL - SBHC	220 COE AVE	MERIDEN	CT
CH01208AQ	Active	BPS-H80-007050	COMMUNITY HEALTH CENTER, INCORPORATED	BENJAMIN FRANKLIN ELEMENTARY SCHOOL - SBHC	426 W Main St	Meriden	CT
CH01208AR	Active	BPS-H80-007138	COMMUNITY HEALTH CENTER, INCORPORATED	MERIDEN HEAD START SBHC	398 Liberty St	Meriden	CT
CH01208AS	Active	BPS-H80-007536	COMMUNITY HEALTH CENTER, INCORPORATED	Roosevelt Middle School SBHC	40 Goodwin St	New Britain	CT
CH01208AT	Active	BPS-H80-009212	COMMUNITY HEALTH CENTER, INCORPORATED	Middletown High School	200 La Rosa Ln	Middletown	CT
CH01208AU	Active	BPS-H80-010015	COMMUNITY HEALTH CENTER, INCORPORATED	Enfield High School SBHC	1264 Enfield St	Enfield	CT
CH01208AV	Active	BPS-H80-010016	COMMUNITY HEALTH CENTER, INCORPORATED	John F Kennedy Middle School SBHC	155 Raffia Rd	Enfield	CT
CH01208AW	Terminated	BPS-H80-010068	COMMUNITY HEALTH CENTER, INCORPORATED	Trailblazers Academy/Domus Charter Schools SBHC	83 Lockwood Ave	Stamford	CT
CH01208AX	Active	BPS-H80-010881	COMMUNITY HEALTH CENTER, INCORPORATED	Smalley Academy SBHC	175 West St	New Britain	CT
CH01208AY	Active	BPS-H80-010415	COMMUNITY HEALTH CENTER, INCORPORATED	Vinal Technical High School SBHC	60 Daniels St	Middletown	CT
CH01208AZ	Active	BPS-H80-007312	COMMUNITY HEALTH CENTER, INCORPORATED	HANOVER ELEMENTARY SCHOOL - SBHC	208 East Main St	Meriden	CT
CH01208B	Active	BPS-H80-003234	COMMUNITY HEALTH CENTER, INCORPORATED	COMMUNITY HEALTH CENTER OF MERIDEN	134 State St	Meriden	CT
CH01208BA	Active	BPS-H80-011164	COMMUNITY HEALTH CENTER, INCORPORATED	Friendship Service Center of New Britain	241 Arch	New Britain	CT
CH01208BB	Active	BPS-H80-011963	COMMUNITY HEALTH CENTER, INCORPORATED	East Windsor Middle School SBHC	38 Main St.	Broad Brook	CT
CH01208BC	Terminated	BPS-H80-011416	COMMUNITY HEALTH CENTER, INCORPORATED	Dual Language and Arts Elementary SBHC	51 Daniels Ave	Waterford	CT
CH01208BD	Active	BPS-H80-011503	COMMUNITY HEALTH CENTER, INCORPORATED	East Windsor High School SBHC	76 S Main St	East Windsor	CT
CH01208BE	Active	BPS-H80-011504	COMMUNITY HEALTH CENTER, INCORPORATED	Marine Science Magnet High School SBHC	130 Shennecossett Rd	Groton	CT
CH01208BF	Terminated	BPS-H80-011856	COMMUNITY HEALTH CENTER, INCORPORATED	Stamford Academy SBHC	299 North St	Stamford	CT
CH01208BG	Active	BPS-H80-011929	COMMUNITY HEALTH CENTER, INCORPORATED	Bielefield Elementary SBHC	70 Maynard St	Middletown	CT
CH01208BH	Active	BPS-H80-011962	COMMUNITY HEALTH CENTER, INCORPORATED	Broad Brook Elementary SBHC	14 Rye St	Broad Brook	CT
CH01208BJ	Active	BPS-H80-017686	COMMUNITY HEALTH CENTER, INCORPORATED	CHC of Hartford	76 NEW BRITAIN AVE	HARTFORD	CT
CH01208BK	Terminated	BPS-H80-005674	COMMUNITY HEALTH CENTER, INCORPORATED	WYA AT CRYSALIS	Domestic Violence Setting - Address Undisclosed	Undisclosed	CT
CH01208BL	Active	BPS-H80-012517	COMMUNITY HEALTH CENTER, INCORPORATED	E.C. Goodwin Technical High School SBHC	735 Slater Rd	New Britain	CT
CH01208BM	Terminated	BPS-H80-012794	COMMUNITY HEALTH CENTER, INCORPORATED	Alternative Center for Excellence SBHC	27 Locust Ave	Danbury	CT
CH01208BN	Active	BPS-H80-014721	COMMUNITY HEALTH CENTER, INCORPORATED	Moody Elementary School SBHC	300 COUNTRY CLUB RD	MIDDLETOWN	CT
CH01208BP	Active	BPS-H80-017674	COMMUNITY HEALTH CENTER, INCORPORATED	Portland Middle and High School SBHC	93 - 95 High Street	Portland	CT
CH01208BQ	Active	BPS-H80-014724	COMMUNITY HEALTH CENTER, INCORPORATED	J.M. Wright Technical High School SBHC	120 BRIDGE ST	STAMFORD	CT
CH01208BR	Active	BPS-H80-018469	COMMUNITY HEALTH CENTER, INCORPORATED	East Haven High School SBHC	35 Wheelbarrow Ln	East Haven	CT
CH01208BS	Active	BPS-H80-021168	COMMUNITY HEALTH CENTER, INCORPORATED	The Morgan School SBHC	71 Killingworth Tpke	Clinton	CT
CH01208BT	Active	BPS-H80-012513	COMMUNITY HEALTH CENTER, INCORPORATED	Edison Magnet Middle School	1355 N Broad St	Meriden	CT
CH01208BU	Active	BPS-H80-014097	COMMUNITY HEALTH CENTER, INCORPORATED	Stafford High School	145 ORCUTTVILLE RD	STAFFORD SPRINGS	CT
CH01208BV	Active	BPS-H80-014698	COMMUNITY HEALTH CENTER, INCORPORATED	Lawrence Elementary School SBHC	1 Kaplan Drive	MIDDLETOWN	CT
CH01208BW	Active	BPS-H80-012898	COMMUNITY HEALTH CENTER, INCORPORATED	Bristol Technical High School	431 Minor St	Bristol	CT
CH01208BX	Active	BPS-H80-019687	COMMUNITY HEALTH CENTER, INCORPORATED	Jefferson Elementary School SBHC	140 Horseplain Rd	New Britain	CT
CH01208BY	Terminated	BPS-H80-014449	COMMUNITY HEALTH CENTER, INCORPORATED	Danbury City Shelter WYA	41 New St	Danbury	CT
CH01208BZ	Active	BPS-H80-014098	COMMUNITY HEALTH CENTER, INCORPORATED	Stafford Elementary School	11 LEVINTHAL RUN	STAFFORD SPRINGS	CT
CH01208C	Active	BPS-H80-003667	COMMUNITY HEALTH CENTER, INCORPORATED	COMMUNITY HEALTH CENTER OF NEW BRITAIN	85 Lafayette St	New Britain	CT
CH01208CA	Active	BPS-H80-014096	COMMUNITY HEALTH CENTER, INCORPORATED	Momauguin Elementary School	99 COSEY BEACH RD	EAST HAVEN	CT
CH01208CB	Active	BPS-H80-015769	COMMUNITY HEALTH CENTER, INCORPORATED	Springdale Elementary School SBHC	1127 Hope St	Stamford	CT
CH01208CC	Active	BPS-H80-018648	COMMUNITY HEALTH CENTER, INCORPORATED	Brownstone Intermediate School SBHC	314 Main St	Portland	CT
CH01208CD	Active	BPS-H80-013867	COMMUNITY HEALTH CENTER, INCORPORATED	Pulaski Middle School	757 Farmington Ave	New Britain	CT
CH01208CE	Active	BPS-H80-015211	COMMUNITY HEALTH CENTER, INCORPORATED	Julia A. Stark Elementary School SBHC	398 Glenbrook Rd	Stamford	CT
CH01208CF	Terminated	BPS-H80-014037	COMMUNITY HEALTH CENTER, INCORPORATED	The Morgan School	27 KILLINGWORTH TPKE	CLINTON	CT
CH01208CG	Active	BPS-H80-019409	COMMUNITY HEALTH CENTER, INCORPORATED	The Isabelle Pearson School SBHC	2 Wetmore Ave	Winchester	CT
CH01208CH	Active	BPS-H80-014176	COMMUNITY HEALTH CENTER, INCORPORATED	West Stafford Elementary School - SBHC	153 W Stafford Rd	Stafford	CT
CH01208CJ	Active	BPS-H80-019690	COMMUNITY HEALTH CENTER, INCORPORATED	Holmes Elementary School SBHC	2150 Stanley St	New Britain	CT
CH01208CK	Active	BPS-H80-019691	COMMUNITY HEALTH CENTER, INCORPORATED	Vance Elementary School SBHC	183 Vance St	New Britain	CT
CH01208CL	Active	BPS-H80-015770	COMMUNITY HEALTH CENTER, INCORPORATED	Gaffney Elementary School - SBHC	322 Slater Rd	New Britain	CT
CH01208CM	Active	BPS-H80-019688	COMMUNITY HEALTH CENTER, INCORPORATED	Frank J Diloreto Elementary School SBHC	732 Slater Rd	New Britain	CT
CH01208CN	Terminated	BPS-H80-014050	COMMUNITY HEALTH CENTER, INCORPORATED	Staffordville Elementary School	21 LYONS RD	STAFFORD SPRINGS	CT
CH01208CP	Active	BPS-H80-019694	COMMUNITY HEALTH CENTER, INCORPORATED	Northend Elementary School SBHC	160 Bassett St	New Britain	CT
CH01208CQ	Active	BPS-H80-018617	COMMUNITY HEALTH CENTER, INCORPORATED	Lewin G Joel School SBHC	137A Glenwood Rd	Clinton	CT
CH01208CR	Active	BPS-H80-019692	COMMUNITY HEALTH CENTER, INCORPORATED	Chamberlain Elementary School SBHC	120 Newington Ave	New Britain	CT
CH01208CS	Active	BPS-H80-014024	COMMUNITY HEALTH CENTER, INCORPORATED	Stafford Middle School	21 Levinthal Run	Stafford	CT
CH01208CT	Active	BPS-H80-014095	COMMUNITY HEALTH CENTER, INCORPORATED	Wilcox Technical High School SBHC	298 Oregon Rd	Meriden	CT
CH01208CU	Active	BPS-H80-013732	COMMUNITY HEALTH CENTER, INCORPORATED	WYA New London Homeless Hospitality Center	327 HUNTINGTON ST	NEW LONDON	CT
CH01208CV	Terminated	BPS-H80-018692	COMMUNITY HEALTH CENTER, INCORPORATED	Abraham Pierson School SBHC	75 E Main Street	Clinton	CT
CH01208CW	Active	BPS-H80-018750	COMMUNITY HEALTH CENTER, INCORPORATED	Valley View Elementary School SBHC	81 High St	Portland	CT
CH01208CX	Active	BPS-H80-019387	COMMUNITY HEALTH CENTER, INCORPORATED	Stratford High School SBHC	245 King St	Stratford	CT
CH01208CY	Active	BPS-H80-014479	COMMUNITY HEALTH CENTER, INCORPORATED	Slade Middle School The Catalyst Academy SBHC	183 STEELE ST	NEW BRITAIN	CT
CH01208CZ	Active	BPS-H80-018471	COMMUNITY HEALTH CENTER, INCORPORATED	O'Brien Technical High School SBHC	141 PRINDLE AVE	ANSONIA	CT
CH01208D	Active	BPS-H80-001275	COMMUNITY HEALTH CENTER, INCORPORATED	COMMUNITY HEALTH CENTER OF OLD SAYBROOK	263 Main St	Old Saybrook	CT
CH01208DA	Active	BPS-H80-019693	COMMUNITY HEALTH CENTER, INCORPORATED	Smith Elementary School SBHC	142 Rutherford St	New Britain	CT
CH01208DB	Terminated	BPS-H80-020883	COMMUNITY HEALTH CENTER, INCORPORATED	The Pope John Paul lll School SBHC	221 Farmington Avenue	New Britain	CT
CH01208DC	Active	BPS-H80-013873	COMMUNITY HEALTH CENTER, INCORPORATED	Venture Academy	883 PADDOCK AVE	MERIDEN	CT
CH01208DD	Active	BPS-H80-013686	COMMUNITY HEALTH CENTER, INCORPORATED	Kaynor Technical High School SBHC	43 Tompkins St	Waterbury	CT
CH01208DE	Active	BPS-H80-018751	COMMUNITY HEALTH CENTER, INCORPORATED	Gildersleeve Elementary School SBHC	575 1/2 Main St	Portland	CT
CH01208DF	Active	BPS-H80-018459	COMMUNITY HEALTH CENTER, INCORPORATED	Joseph Melillo Middle School SBHC	67 Hudson St	East Haven	CT
CH01208DG	Terminated	BPS-H80-013870	COMMUNITY HEALTH CENTER, INCORPORATED	Enrico Fermi High School SBHC	124 N Maple St	Enfield	CT
CH01208DH	Active	BPS-H80-014741	COMMUNITY HEALTH CENTER, INCORPORATED	Spencer Elementary School SBHC	207 WESTFIELD ST	MIDDLETOWN	CT
CH01208DJ	Active	BPS-H80-014099	COMMUNITY HEALTH CENTER, INCORPORATED	Eliot Middle School	69 FAIRY DELL RD	CLINTON	CT
CH01208DK	Terminated	BPS-H80-006375	COMMUNITY HEALTH CENTER, INCORPORATED	WYA AT PRUDENCE CRANDALL CENTER	Domestic Violence Setting - Address Undisclosed	Undisclosed	CT
CH01208DL	Active	BPS-H80-014722	COMMUNITY HEALTH CENTER, INCORPORATED	Wilbert Snow Elementary School SBHC	299 WADSWORTH ST	MIDDLETOWN	CT
CH01208DM	Terminated	BPS-H80-019689	COMMUNITY HEALTH CENTER, INCORPORATED	Batcheller Elementary Education Center SBHC	201 Pratt St	Winsted	CT
CH01208DN	Terminated	BPS-H80-017673	COMMUNITY HEALTH CENTER, INCORPORATED	Batcheller Elementary Education Center	300 Washington Street	Middletown	CT
CH01208DP	Active	BPS-H80-027123	COMMUNITY HEALTH CENTER, INCORPORATED	CHC of Stamford @ Fifth Street	22 Fifth Street	Stamford	CT
CH01208DQ	Active	BPS-H80-029831	COMMUNITY HEALTH CENTER, INCORPORATED	Eli Whitney Technical High School SBHC	100 Fairview Ave	Hamden	CT
CH01208DR	Active	BPS-H80-027982	COMMUNITY HEALTH CENTER, INCORPORATED	Brass City School SBHC	289 Willow St	Waterbury	CT
CH01208DS	Active	BPS-H80-021005	COMMUNITY HEALTH CENTER, INCORPORATED	Brookside School SBHC	505 S Main St	New Britain	CT
CH01208DT	Active	BPS-H80-028206	COMMUNITY HEALTH CENTER, INCORPORATED	Deer Run School SBHC	311 Foxon Rd	East Haven	CT
CH01208DU	Active	BPS-H80-028203	COMMUNITY HEALTH CENTER, INCORPORATED	Dominick Ferrara Elementary School SBHC	22 Maynard Rd	East Haven	CT
CH01208DV	Active	BPS-H80-027478	COMMUNITY HEALTH CENTER, INCORPORATED	Edgar H Parkman School SBHC	165 Weymouth Rd	Enfield	CT
CH01208DW	Active	BPS-H80-027474	COMMUNITY HEALTH CENTER, INCORPORATED	Eli Whitney School SBHC	94 Middle Rd	Enfield	CT
CH01208DX	Terminated	BPS-H80-027143	COMMUNITY HEALTH CENTER, INCORPORATED	Eli Whitney Technical High School SBHC	71 Jones Rd	Hamden	CT
CH01208DY	Active	BPS-H80-027476	COMMUNITY HEALTH CENTER, INCORPORATED	Enfield Street School SBHC	1318 Enfield St	Enfield	CT
CH01208DZ	Active	BPS-H80-027404	COMMUNITY HEALTH CENTER, INCORPORATED	Farm Hill Elementary SBHC	398 Ridge Rd	Middletown	CT
CH01208E	Active	BPS-H80-009428	COMMUNITY HEALTH CENTER, INCORPORATED	Community Health Center of Groton	481 Gold Star Highway STE 100	Groton	CT
CH01208EA	Active	BPS-H80-024392	COMMUNITY HEALTH CENTER, INCORPORATED	Frank Scott Bunnell High School SBHC	1 Bulldog Blvd	Stratford	CT
CH01208EB	Active	BPS-H80-022104	COMMUNITY HEALTH CENTER, INCORPORATED	Grove J. Tuttle Elementary School SBHC	108 Prospect Rd	East Haven	CT
CH01208EC	Active	BPS-H80-027475	COMMUNITY HEALTH CENTER, INCORPORATED	Hazardville Memorial School SBHC	68 N Maple St	Enfield	CT
CH01208ED	Active	BPS-H80-027477	COMMUNITY HEALTH CENTER, INCORPORATED	Henry Barnard School SBHC	27 Shaker Rd	Enfield	CT
CH01208EE	Terminated	BPS-H80-021378	COMMUNITY HEALTH CENTER, INCORPORATED	WYA Master's Manna	428 S Cherry St	Wallingford	CT
CH01208EF	Active	BPS-H80-021169	COMMUNITY HEALTH CENTER, INCORPORATED	Lincoln Elementary School SBHC	145 Steele St	New Britain	CT
CH01208EG	Active	BPS-H80-021544	COMMUNITY HEALTH CENTER, INCORPORATED	Middletown Expulsion Program SBHC	398 Main St	Middletown	CT
CH01208EH	Active	BPS-H80-021539	COMMUNITY HEALTH CENTER, INCORPORATED	Nathan Hale Ray High School SBHC	15 School Rd	Moodus	CT
CH01208EJ	Active	BPS-H80-021613	COMMUNITY HEALTH CENTER, INCORPORATED	Nathan Hale Ray Middle School SBHC	73 Clark Gates Rd	Moodus	CT
CH01208EK	Active	BPS-H80-028205	COMMUNITY HEALTH CENTER, INCORPORATED	North Haven High School SBHC	221 Elm St	North Haven	CT
CH01208EL	Active	BPS-H80-028204	COMMUNITY HEALTH CENTER, INCORPORATED	North Haven Middle School SBHC	55 Bailey Rd	North Haven	CT
CH01208EM	Active	BPS-H80-021774	COMMUNITY HEALTH CENTER, INCORPORATED	Pathways Academy SBHC	35 Bishop St	East Haven	CT
CH01208EN	Active	BPS-H80-027473	COMMUNITY HEALTH CENTER, INCORPORATED	Prudence Crandall School SBHC	150 Brainard Rd	Enfield	CT
CH01208EP	Active	BPS-H80-021935	COMMUNITY HEALTH CENTER, INCORPORATED	Roxbury Elementary School SBHC	751 W Hill Rd	Stamford	CT
CH01208EQ	Active	BPS-H80-024832	COMMUNITY HEALTH CENTER, INCORPORATED	THOMAS HOOKER ELEMENTARY SCHOOL SBHC	70 Overlook Dr	Meriden	CT
CH01208ER	Active	BPS-H80-027403	COMMUNITY HEALTH CENTER, INCORPORATED	Wesley Elementary School SBHC	10 Wesleyan Hills Rd	Middletown	CT
CH01208ES	Active	BPS-H80-030026	COMMUNITY HEALTH CENTER, INCORPORATED	Child Guidance Center of Southern Connecticut	401 Shippan Ave	Stamford	CT
CH01208ET	Active	BPS-H80-030028	COMMUNITY HEALTH CENTER, INCORPORATED	Child Guidance Center of Southern Connecticut	81 Holly Hill Ln Fl 2	Greenwich	CT
CH01208EU	Active	BPS-H80-030027	COMMUNITY HEALTH CENTER, INCORPORATED	Child Guidance Center of Southern Connecticut	103 West Broad BLDG 103	Stamford	CT
CH01208EV	Active	BPS-H80-035412	Community Health Center, Incorporated	W.Y.A. Liberations	119 Main St	Stamford	CT
CH01208EW	Active	BPS-H80-034493	Community Health Center, Incorporated	W.Y.A. Community Mental Health Associates (CMHA)	233 Main St	New Britain	CT
CH01208EX	Active	BPS-H80-035580	Community Health Center, Incorporated	Stratford Academy Johnson House SBHC	719 Birdseye St	Stratford	CT
CH01208EY	Approved	BPS-H80-039295	COMMUNITY HEALTH CENTER, INCORPORATED	CHC Mobile Health Unit #2	675 Main St	Middletown	CT
CH01208EZ	Approved	BPS-H80-035979	COMMUNITY HEALTH CENTER, INCORPORATED	Wilby High School SBHC	568 Bucks Hill Rd	Waterbury	CT
CH01208F	Active	BPS-H80-003244	COMMUNITY HEALTH CENTER, INCORPORATED	COMMUNITY HEALTH CENTER OF CLINTON	114 E Main St	Clinton	CT
CH01208FA	Approved	BPS-H80-036393	COMMUNITY HEALTH CENTER, INCORPORATED	CHC Mobile Health Unit #1	675 Main Street	Middletown	CT
CH01208FB	Approved	BPS-H80-035903	COMMUNITY HEALTH CENTER, INCORPORATED	Crosby High School SBHC	300 Pierpont Rd	Waterbury	CT
CH01208H	Terminated	BPS-H80-006951	COMMUNITY HEALTH CENTER, INCORPORATED	KEIGWIN MIDDLE SCHOOL - SBHC	99 SPRUCE ST	MIDDLETOWN	CT
CH01208I	Active	BPS-H80-004638	COMMUNITY HEALTH CENTER, INCORPORATED	COMMODORE MACDONOUGH ELEMENTARY SCHOOL - SBHC (RITA HAYES WELLNESS CENTER)	MACDONOUGH ELEM. 66 SPRING ST	MIDDLETOWN	CT
CH01208J	Active	BPS-H80-007626	COMMUNITY HEALTH CENTER, INCORPORATED	Beman Middle School SBHC	370 Hunting Hill	Middletown	CT
CH01208L	Active	BPS-H80-002297	COMMUNITY HEALTH CENTER, INCORPORATED	NEW BRITAIN HIGH SCHOOL - SBHC	110 Mill St	New Britain	CT
CH01208N	Active	BPS-H80-006774	COMMUNITY HEALTH CENTER, INCORPORATED	WYA AT SHELTER NOW	43 Saint Casimir Dr	Meriden	CT
CH01208P	Terminated	BPS-H80-006556	COMMUNITY HEALTH CENTER, INCORPORATED	WYA AT SHEPHERD HOME	112 Bow Ln	Middletown	CT
CH01208Q	Active	BPS-H80-002374	COMMUNITY HEALTH CENTER, INCORPORATED	COMMUNITY HEALTH CENTER OF DANBURY	8 Delay Street	Danbury	CT
CH01208R	Active	BPS-H80-005271	COMMUNITY HEALTH CENTER, INCORPORATED	COMMUNITY HEALTH CENTER OF ENFIELD	5 N Main St	Enfield	CT
CH01208S	Active	BPS-H80-004214	COMMUNITY HEALTH CENTER, INCORPORATED	Day Street Community Health Center	49 Day St	Norwalk	CT
CH01208T	Active	BPS-H80-010830	COMMUNITY HEALTH CENTER, INCORPORATED	Community Health Center of Waterbury	51 N Elm St	Waterbury	CT
CH01208U	Terminated	BPS-H80-009215	COMMUNITY HEALTH CENTER, INCORPORATED	WYA at Masters Manna	46 North Plain Industrial Road	Wallingford	CT
CH01208V	Active	BPS-H80-011163	COMMUNITY HEALTH CENTER, INCORPORATED	Community Health Center of Bristol	395 N Main St	Bristol	CT
CH01208W	Active	BPS-H80-004812	COMMUNITY HEALTH CENTER, INCORPORATED	Franklin Street Community Health Center	141 Franklin St	Stamford	CT
CH01208X	Active	BPS-H80-006576	Community Health Center, Inc.	Eddy Center Adult Shelter	1 Labella Circle	Middletown	CT
CH01208Y	Active	BPS-H80-000090	COMMUNITY HEALTH CENTER, INCORPORATED	CASIMIR PULASKI ELEMENTARY SCHOOL - SBHC	100 Clearview Ave	Meriden	CT
CH01208Z	Active	BPS-H80-001307	COMMUNITY HEALTH CENTER, INCORPORATED	JOHN BARRY ELEMENTARY SCHOOL - SBHC	124 Columbia St	Meriden	CT

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH012080	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	10/01/2020
CH012080	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	10/01/2020
CH012080	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	10/01/2020
CH012080	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	10/01/2020
CH012080	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	10/01/2020
CH012080	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	10/01/2020
CH012080	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/01/2020
CH01208S	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/01/2024
CH012080	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	10/01/2020
CH012080	CAREMARK PUERTO RICO SPECIALTY PHARMACY,	CAREMARK PUERTO RICO SPECIALTY PHARMACY	6020 AVE ROBERTO SANCHEZ VILELLA	CAROLINA	PR	00982	10/01/2020
CH012080	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	10/01/2020
CH012080	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	10/01/2020
CH012080	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	10/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00364	308 MAIN STREET EXTENSION	MIDDLETOWN	CT	06457	10/01/2016
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01080	817 BANK STREET	NEW LONDON	CT	06320	10/01/2016
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00377	915 POQUONNOCK RD.	GROTON	CT	06340	07/01/2019
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00750	875 ENFIELD ST. ENFIELD PLAZA SHOPPES	ENFIELD	CT	06082	07/01/2019
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00865	839 EAST MAIN STREET	MERIDEN	CT	06450	07/01/2019
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01276	81 NORTH STREET	BRISTOL	CT	06010	07/01/2019
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02896	675 WASHINGTON STREET	MIDDLETOWN	CT	06457	07/01/2019
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06807	153 BROAD STREET	MERIDEN	CT	06450	07/01/2019
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00760	713 WEST MAIN STREET	NEW BRITAIN	CT	06053	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00294	177 COLUMBUS BLVD.	NEW BRITAIN	CT	06051	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01284	17 WEST MAIN STREET	CLINTON	CT	06413	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02018	540 WEST MAIN STREET	MERIDEN	CT	06451	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00691	1181 MAIN STREET	NEWINGTON	CT	06111	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02388	2000 NORTH MAIN STREET	WATERBURY	CT	06704	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03835	72 BERLIN RD.	CROMWELL	CT	06416	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00288	839 FARMINGTON AVE	BRISTOL	CT	06010	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00671	1099 NEW BRITAIN AVENUE	WEST HARTFORD	CT	06110	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01070	90 MAIN STREET	WINDSOR LOCKS	CT	06096	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02839	2005 NORWICH - NEW LONDON TPKE	UNCASVILLE	CT	06382	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 556	1657 ROUTE 12	GALES FERRY	CT	06335	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01202	20 BANK ST.	GRANBY	CT	06035	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01060	326 MAIN STREET	SOUTHINGTON	CT	06489	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00124	98 BRIDGE ST.	NAUGATUCK	CT	06770	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01098	47 HAZARD AVE	ENFIELD	CT	06082	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01219	229 HOPE STREET	STAMFORD	CT	06906	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01151	464 REIDVILLE DRIVE	WATERBURY	CT	06705	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01089	20 BURNSIDE AVENUE	EAST HARTFORD	CT	06108	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02119	1055 FARMINGTON AVENUE	KENSINGTON	CT	06037	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	CVS PHARMACY # 16633	475 HARTFORD RD	NEW BRITAIN	CT	06053	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01910	260 NORTH MAIN STREET	MANCHESTER	CT	06042	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00839	14 FARMINGTON AVENUE	PLAINVILLE	CT	06062	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 343	66 HIGH RIDGE ROAD	STAMFORD	CT	06905	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01027	372 WEST MAIN STREET	NORWICH	CT	06360	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	CVS PHARMACY # 17291	1075 KENNEDY RD	WINDSOR	CT	06095	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00954	311 MAIN ST. VILLAGE PLAZA	TERRYVILLE	CT	06786	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02153	150 SOUTH MAIN STREET	WEST HARTFORD	CT	06107	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00172	2-6 SHORT BEACH RD,	BRANFORD	CT	06405	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02099	479 BLUE HILLS AVE.	HARTFORD	CT	06112	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01155	308 BERLIN TURNPIKE	BERLIN	CT	06037	01/01/2020	10/17/2022
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00459	2639 MAIN STREET	GLASTONBURY	CT	06033	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02525	323 CROMWELL AVENUE	ROCKY HILL	CT	06067	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00857	660 FOXON RD.	EAST HAVEN	CT	06513	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY #388	613 BOSTON POST RD	MADISON	CT	06443	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01948	690 WETHERSFIELD AVE.	HARTFORD	CT	06114	01/01/2020	02/10/2025
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01051	593 NEWFIELD AVENUE	STAMFORD	CT	06905	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01166	219 BROAD STREET	WINDSOR	CT	06095	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	CVS/PHARMACY # 5703	60 MIDDLE ST.	BRISTOL	CT	06010	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02502	581 HIGHLAND AVE.	CHESHIRE	CT	06410	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00840	908-910 MAPLE AVENUE	HARTFORD	CT	06114	01/01/2020
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	CVS PHARMACY # 16872	21 BROAD ST	STAMFORD	CT	06901	07/01/2022
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #7856	281 CONNECTICUT AVENUE	NORWALK	CT	06854-1938	07/01/2022
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 5263	150 WASHINGTON STREET	HARTFORD	CT	06106	07/01/2022
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02140	526 MERIDEN ROAD	WATERBURY	CT	06705	07/01/2022
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01966	1057 BOSTON POST ROAD, ROUTE 1	GUILFORD	CT	06437	07/01/2022
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01268	106 BOSTON POST ROAD	WATERFORD	CT	06385	07/01/2022
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01152	58 PENNSYLVANIA AVE.	NIANTIC	CT	06357	07/01/2022
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01149	696 WEST AVE.	NORWALK	CT	06850	07/01/2022
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 935	891 NORTH COLONY RD.	WALLINGFORD	CT	06492	01/01/2024
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00629	146 SOUTH ST.	DANBURY	CT	06810	04/01/2024
CH012080	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02056	25 BROADWAY	MYSTIC	CT	06355	04/01/2024
CH01208BE	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00377	915 POQUONNOCK RD.	GROTON	CT	06340	07/01/2024
CH01208AQ	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02018	540 WEST MAIN STREET	MERIDEN	CT	06451	07/01/2024
CH01208AR	CONNECTICUT CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06807	153 BROAD STREET	MERIDEN	CT	06450	07/01/2024
CH012080	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01007	1267 MAIN ST	BROCKTON	MA	02301-7107	01/01/2020
CH012080	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	10/01/2020
CH012080	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	10/01/2020
CH01208BX	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	10/01/2022
CH012080	DANICO INC	DBA BEACON PRESCRIPTIONS	25 COLLINS RD	BRISTOL	CT	06010	07/01/2019
CH012080	GENOA HEALTHCARE LLC	21 MONTAUK AVE	SUITE 102	NEW LONDON	CT	06320-4906	10/01/2022
CH012080	GENOA HEALTHCARE LLC	40 HART ST STE P		NEW BRITAIN	CT	06052	04/01/2024
CH012080	GENOA HEALTHCARE LLC	883 PADDOCK AVE., SUITE S131		MERIDEN	CT	06450	04/01/2024
CH012080	GENOA HEALTHCARE LLC	230 MAIN STREET EXT	SUITE A	MIDDLETOWN	CT	06457-4470	04/01/2024
CH01208V	GENOA HEALTHCARE LLC	40 HART ST STE P		NEW BRITAIN	CT	06052	07/01/2024
CH01208ER	GENOA HEALTHCARE LLC	230 MAIN STREET EXT	SUITE A	MIDDLETOWN	CT	06457-4470	07/01/2024
CH01208Z	GENOA HEALTHCARE LLC	883 PADDOCK AVE., SUITE S131		MERIDEN	CT	06450	07/01/2024
CH01208DS	GENOA HEALTHCARE LLC	40 HART ST STE P		NEW BRITAIN	CT	06052	07/01/2024
CH012080	GENOA HEALTHCARE LLC	22 5TH ST RM P		STAMFORD	CT	06905	09/04/2024
CH01208DP	GENOA HEALTHCARE LLC	22 5TH ST RM P		STAMFORD	CT	06905	09/04/2024
CH012080	GENOA HEALTHCARE LLC	855 LAKEWOOD RD STE 100		WATERBURY	CT	06704	01/01/2025
CH01208DR	GENOA HEALTHCARE LLC	855 LAKEWOOD RD STE 100		WATERBURY	CT	06704	01/01/2025
CH012080	GENOA HEALTHCARE LLC	153 HAZARD AVENUE	SUITE 100	ENFIELD	CT	06082-4592	01/01/2025
CH01208AV	GENOA HEALTHCARE LLC	153 HAZARD AVENUE	SUITE 100	ENFIELD	CT	06082-4592	01/01/2025
CH01208AG	GENOA HEALTHCARE LLC	21 MONTAUK AVE	SUITE 102	NEW LONDON	CT	06320-4906	04/01/2025
CH012080	GENOA HEALTHCARE LLC	1 HOPE ST STE P		BRISTOL	CT	06010	07/01/2025
CH01208BW	GENOA HEALTHCARE LLC	1 HOPE ST STE P		BRISTOL	CT	06010	07/01/2025
CH012080	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	10/01/2020	10/13/2022
CH01208BQ	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	10/01/2022
CH012080	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	10/01/2020
CH012080	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 2516	35 KNEELAND STREET	BOSTON	MA	02111	07/01/2019
CH012080	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	10/01/2020
CH012080	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	10/01/2020
CH012080	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	10/01/2020
CH012080	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2971	350 LONGWOOD AVE., STE B	BOSTON	MA	02115	04/01/2024
CH01208R	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 2516	35 KNEELAND STREET	BOSTON	MA	02111	10/01/2024
CH012080	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/01/2019
CH012080	WAL-MART PHARMACY 10-2200	150 GOLD STAR HWY		GROTON	CT	06340	07/01/2019
CH01208BE	WAL-MART PHARMACY 10-2200	150 GOLD STAR HWY		GROTON	CT	06340	07/01/2024
CH012080	WAL-MART PHARMACY 10-2232	120 COMMERCIAL PKWY		BRANFORD	CT	06405	01/01/2021	04/01/2024
CH012080	WAL-MART PHARMACY 10-2282	44 PROSPECT HILL ROAD		EAST WINDSOR	CT	06088	01/01/2021	04/01/2024
CH012080	WAL-MART PHARMACY 10-2299	161 BERLIN ROAD		CROMWELL	CT	06416	10/01/2016
CH01208BG	WAL-MART PHARMACY 10-2299	161 BERLIN ROAD		CROMWELL	CT	06416	07/01/2024
CH012080	WAL-MART PHARMACY 10-2331	155 WATERFORD PKWY NORTH		WATERFORD	CT	06385	01/01/2021
CH01208D	WAL-MART PHARMACY 10-2331	155 WATERFORD PKWY NORTH		WATERFORD	CT	06385	07/01/2024
CH012080	WAL-MART PHARMACY 10-2371	844 NORTH COLONY RD		WALLINGFORD	CT	06492	10/01/2016
CH01208BL	WAL-MART PHARMACY 10-2371	844 NORTH COLONY RD		WALLINGFORD	CT	06492	07/01/2024
CH012080	WAL-MART PHARMACY 10-2719	1400 FARMINGTON AVENUE		BRISTOL	CT	06010	01/01/2021	04/01/2024
CH012080	WAL-MART PHARMACY 10-2965	3164 BERLIN TURNPIKE		NEWINGTON	CT	06111	01/01/2021
CH01208AT	WAL-MART PHARMACY 10-2965	3164 BERLIN TURNPIKE		NEWINGTON	CT	06111	07/01/2024
CH012080	WAL-MART PHARMACY 10-3548	910 WOLCOTT STREET		WATERBURY	CT	06705	01/01/2021	04/01/2024
CH012080	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/01/2019
CH01208D	WALGREEN CO	DBA: WALGREENS	28727 OREGON ROAD	PERRYSBURG	OH	43551	01/01/2013	10/12/2018
CH01208A	WALGREEN CO	DBA: WALGREENS	28727 OREGON ROAD	PERRYSBURG	OH	43551	01/01/2013	10/12/2018
CH01208Q	WALGREEN CO	DBA: WALGREENS	28727 OREGON ROAD	PERRYSBURG	OH	43551	01/01/2013	10/12/2018
CH01208T	WALGREEN CO	DBA: WALGREENS	28727 OREGON ROAD	PERRYSBURG	OH	43551	01/01/2013	10/12/2018
CH01208W	WALGREEN CO	DBA: WALGREENS	28727 OREGON ROAD	PERRYSBURG	OH	43551	01/01/2013	10/12/2018
CH01208U	WALGREEN CO	DBA: WALGREENS	28727 OREGON ROAD	PERRYSBURG	OH	43551	01/01/2013	10/12/2018
CH01208R	WALGREEN CO	DBA: WALGREENS	28727 OREGON ROAD	PERRYSBURG	OH	43551	01/01/2013	10/12/2018
CH01208S	WALGREEN CO	DBA: WALGREENS	28727 OREGON ROAD	PERRYSBURG	OH	43551	01/01/2013	10/12/2018
CH01208V	WALGREEN CO	DBA: WALGREENS	28727 OREGON ROAD	PERRYSBURG	OH	43551	01/01/2013	10/12/2018
CH012080	WALGREEN EASTERN CO. INC	DBA: WALGREENS #15590	95 LOCUST AVENUE SUITE 100	DANBURY	CT	06810	10/01/2019
CH01208BP	WALGREEN EASTERN CO. INC	DBA: WALGREENS #15590	95 LOCUST AVENUE SUITE 100	DANBURY	CT	06810	10/01/2022
CH01208B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 10003	134 STATE ST STE 110	MERIDEN	CT	06450	02/28/2006
CH01208B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05948	425 W MAIN ST	MERIDEN	CT	06451	03/23/2006
CH01208B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02858	633 WASHINGTON	MIDDLETOWN	CT	06457	10/01/2014
CH01208B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07585	102 WASHINGTON STREET	NEW BRITAIN	CT	06051-1826	10/01/2014
CH01208B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07759	441 LONG HILL RD	GROTON	CT	06340-4135	10/01/2014
CH01208B	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07814	218 E MAIN ST	CLINTON	CT	06413-2230	10/01/2014
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02858	633 WASHINGTON	MIDDLETOWN	CT	06457	05/11/2004
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05948	425 W MAIN ST	MERIDEN	CT	06451	10/01/2014
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07585	102 WASHINGTON STREET	NEW BRITAIN	CT	06051-1826	10/01/2014
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07759	441 LONG HILL RD	GROTON	CT	06340-4135	10/01/2014
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07814	218 E MAIN ST	CLINTON	CT	06413-2230	10/01/2014
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 10003	134 STATE ST STE 110	MERIDEN	CT	06450	10/01/2014
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07814	218 E MAIN ST	CLINTON	CT	06413-2230	02/01/2006
CH01208D	WALGREEN EASTERN CO., INC.		80 INTERNATIONAL DR.	WINDSOR	CT	06095-1044	01/01/2013	10/12/2018
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 11825	525 FARMINGTON AVENUE	BRISTOL	CT	06010	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10203	25 MAIN ST	BRISTOL	CT	06010-6528	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06992	529 TALCOTTVILLE RD	VERNON ROCKVILLE	CT	06066-2311	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01824	30 HAZARD AVE	ENFIELD	CT	06082	10/26/2012	07/27/2020
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09432	2 SHAKER ROAD	ENFIELD	CT	06082-3112	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09746	1 ELM ST	WINDSOR LOCKS	CT	06096	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07333	1475 MAIN STREET	WILLIMANTIC	CT	06226-1914	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10483	698 BANK ST	NEW LONDON	CT	06320-5040	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02976	399 WEST MAIN	NORWICH	CT	06360	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03944	329 E MAIN ST	BRANFORD	CT	06405	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10261	180 MAIN ST	DEEP RIVER	CT	06417-2039	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12315	49 S. MAIN ST.	NEWTOWN	CT	06470	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09071	49 WASHINGTON AVE	NORTH HAVEN	CT	06473-1704	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07641	359 MAIN ST	SOUTHINGTON	CT	06489-4538	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10647	284 S COLONY RD	WALLINGFORD	CT	06492	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10244	1211 BOSTON POST RD	WESTBROOK	CT	06498-1949	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03192	649 W MAIN ST STE 2	WATERBURY	CT	06702	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21180	60 BANK ST STE 100	WATERBURY	CT	06702	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06966	11 MERIDEN ROAD	WATERBURY	CT	06705-1933	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21268	76 HEIGHTS RD	DARIEN	CT	06820-4128	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06308	55 WESTPORT AVE	NORWALK	CT	06851	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10058	235 MAIN ST	NORWALK	CT	06851	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10177	54 WEST AVE	NORWALK	CT	06854-2225	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11164	46-A DANBURY RD	RIDGEFIELD	CT	06877-4019	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06757	1333 E PUTNAM AVE	RIVERSIDE	CT	06878-1529	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10310	780 E MAIN ST	STAMFORD	CT	06902-3832	10/26/2012
CH01208D	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11620	1203 HIGH RIDGE ROAD	STAMFORD	CT	06905-1214	10/26/2012
CH01208F	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07814	218 E MAIN ST	CLINTON	CT	06413-2230	01/15/2005
CH01208F	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02858	633 WASHINGTON	MIDDLETOWN	CT	06457	10/01/2014
CH01208F	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05948	425 W MAIN ST	MERIDEN	CT	06451	10/01/2014
CH01208F	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07585	102 WASHINGTON STREET	NEW BRITAIN	CT	06051-1826	10/01/2014
CH01208F	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07759	441 LONG HILL RD	GROTON	CT	06340-4135	10/01/2014
CH01208F	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 10003	134 STATE ST STE 110	MERIDEN	CT	06450	10/01/2014
CH01208E	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07759	441 LONG HILL RD	GROTON	CT	06340-4135	02/01/2006
CH01208E	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02858	633 WASHINGTON	MIDDLETOWN	CT	06457	10/01/2014
CH01208E	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05948	425 W MAIN ST	MERIDEN	CT	06451	10/01/2014
CH01208E	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07585	102 WASHINGTON STREET	NEW BRITAIN	CT	06051-1826	10/01/2014
CH01208E	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07814	218 E MAIN ST	CLINTON	CT	06413-2230	10/01/2014
CH01208E	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 10003	134 STATE ST STE 110	MERIDEN	CT	06450	10/01/2014
CH01208C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07585	102 WASHINGTON STREET	NEW BRITAIN	CT	06051-1826	01/01/2004
CH01208C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02858	633 WASHINGTON	MIDDLETOWN	CT	06457	10/01/2014
CH01208C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05948	425 W MAIN ST	MERIDEN	CT	06451	10/01/2014
CH01208C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07759	441 LONG HILL RD	GROTON	CT	06340-4135	10/01/2014
CH01208C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07814	218 E MAIN ST	CLINTON	CT	06413-2230	10/01/2014
CH01208C	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 10003	134 STATE ST STE 110	MERIDEN	CT	06450	10/01/2014
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07759	441 LONG HILL RD	GROTON	CT	06340-4135	03/01/2006
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10483	698 BANK ST	NEW LONDON	CT	06320-5040	08/01/2007	03/08/2021
CH01208A	WALGREEN EASTERN CO., INC.		80 INTERNATIONAL DR.	WINDSOR	CT	06095-1044	01/01/2013	10/12/2018
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 11825	525 FARMINGTON AVENUE	BRISTOL	CT	06010	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10203	25 MAIN ST	BRISTOL	CT	06010-6528	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06992	529 TALCOTTVILLE RD	VERNON ROCKVILLE	CT	06066-2311	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01824	30 HAZARD AVE	ENFIELD	CT	06082	10/26/2012	07/27/2020
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09432	2 SHAKER ROAD	ENFIELD	CT	06082-3112	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09746	1 ELM ST	WINDSOR LOCKS	CT	06096	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07333	1475 MAIN STREET	WILLIMANTIC	CT	06226-1914	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10483	698 BANK ST	NEW LONDON	CT	06320-5040	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02976	399 WEST MAIN	NORWICH	CT	06360	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03944	329 E MAIN ST	BRANFORD	CT	06405	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10261	180 MAIN ST	DEEP RIVER	CT	06417-2039	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12315	49 S. MAIN ST.	NEWTOWN	CT	06470	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09071	49 WASHINGTON AVE	NORTH HAVEN	CT	06473-1704	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07641	359 MAIN ST	SOUTHINGTON	CT	06489-4538	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10647	284 S COLONY RD	WALLINGFORD	CT	06492	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10244	1211 BOSTON POST RD	WESTBROOK	CT	06498-1949	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03192	649 W MAIN ST STE 2	WATERBURY	CT	06702	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21180	60 BANK ST STE 100	WATERBURY	CT	06702	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06966	11 MERIDEN ROAD	WATERBURY	CT	06705-1933	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21268	76 HEIGHTS RD	DARIEN	CT	06820-4128	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06308	55 WESTPORT AVE	NORWALK	CT	06851	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10058	235 MAIN ST	NORWALK	CT	06851	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10177	54 WEST AVE	NORWALK	CT	06854-2225	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11164	46-A DANBURY RD	RIDGEFIELD	CT	06877-4019	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06757	1333 E PUTNAM AVE	RIVERSIDE	CT	06878-1529	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10310	780 E MAIN ST	STAMFORD	CT	06902-3832	10/26/2012
CH01208A	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11620	1203 HIGH RIDGE ROAD	STAMFORD	CT	06905-1214	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.		80 INTERNATIONAL DR.	WINDSOR	CT	06095-1044	01/01/2013	10/12/2018
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 11825	525 FARMINGTON AVENUE	BRISTOL	CT	06010	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10203	25 MAIN ST	BRISTOL	CT	06010-6528	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06992	529 TALCOTTVILLE RD	VERNON ROCKVILLE	CT	06066-2311	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01824	30 HAZARD AVE	ENFIELD	CT	06082	10/26/2012	07/27/2020
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09432	2 SHAKER ROAD	ENFIELD	CT	06082-3112	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09746	1 ELM ST	WINDSOR LOCKS	CT	06096	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07333	1475 MAIN STREET	WILLIMANTIC	CT	06226-1914	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10483	698 BANK ST	NEW LONDON	CT	06320-5040	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02976	399 WEST MAIN	NORWICH	CT	06360	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03944	329 E MAIN ST	BRANFORD	CT	06405	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10261	180 MAIN ST	DEEP RIVER	CT	06417-2039	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12315	49 S. MAIN ST.	NEWTOWN	CT	06470	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09071	49 WASHINGTON AVE	NORTH HAVEN	CT	06473-1704	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07641	359 MAIN ST	SOUTHINGTON	CT	06489-4538	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10647	284 S COLONY RD	WALLINGFORD	CT	06492	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10244	1211 BOSTON POST RD	WESTBROOK	CT	06498-1949	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03192	649 W MAIN ST STE 2	WATERBURY	CT	06702	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21180	60 BANK ST STE 100	WATERBURY	CT	06702	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06966	11 MERIDEN ROAD	WATERBURY	CT	06705-1933	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21268	76 HEIGHTS RD	DARIEN	CT	06820-4128	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06308	55 WESTPORT AVE	NORWALK	CT	06851	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10058	235 MAIN ST	NORWALK	CT	06851	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10177	54 WEST AVE	NORWALK	CT	06854-2225	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11164	46-A DANBURY RD	RIDGEFIELD	CT	06877-4019	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06757	1333 E PUTNAM AVE	RIVERSIDE	CT	06878-1529	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10310	780 E MAIN ST	STAMFORD	CT	06902-3832	10/26/2012
CH01208Q	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11620	1203 HIGH RIDGE ROAD	STAMFORD	CT	06905-1214	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.		80 INTERNATIONAL DR.	WINDSOR	CT	06095-1044	01/01/2013	10/12/2018
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 11825	525 FARMINGTON AVENUE	BRISTOL	CT	06010	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10203	25 MAIN ST	BRISTOL	CT	06010-6528	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06992	529 TALCOTTVILLE RD	VERNON ROCKVILLE	CT	06066-2311	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01824	30 HAZARD AVE	ENFIELD	CT	06082	10/26/2012	07/27/2020
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09432	2 SHAKER ROAD	ENFIELD	CT	06082-3112	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09746	1 ELM ST	WINDSOR LOCKS	CT	06096	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07333	1475 MAIN STREET	WILLIMANTIC	CT	06226-1914	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10483	698 BANK ST	NEW LONDON	CT	06320-5040	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02976	399 WEST MAIN	NORWICH	CT	06360	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03944	329 E MAIN ST	BRANFORD	CT	06405	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10261	180 MAIN ST	DEEP RIVER	CT	06417-2039	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12315	49 S. MAIN ST.	NEWTOWN	CT	06470	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09071	49 WASHINGTON AVE	NORTH HAVEN	CT	06473-1704	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07641	359 MAIN ST	SOUTHINGTON	CT	06489-4538	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10647	284 S COLONY RD	WALLINGFORD	CT	06492	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10244	1211 BOSTON POST RD	WESTBROOK	CT	06498-1949	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03192	649 W MAIN ST STE 2	WATERBURY	CT	06702	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21180	60 BANK ST STE 100	WATERBURY	CT	06702	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06966	11 MERIDEN ROAD	WATERBURY	CT	06705-1933	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21268	76 HEIGHTS RD	DARIEN	CT	06820-4128	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06308	55 WESTPORT AVE	NORWALK	CT	06851	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10058	235 MAIN ST	NORWALK	CT	06851	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10177	54 WEST AVE	NORWALK	CT	06854-2225	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11164	46-A DANBURY RD	RIDGEFIELD	CT	06877-4019	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06757	1333 E PUTNAM AVE	RIVERSIDE	CT	06878-1529	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10310	780 E MAIN ST	STAMFORD	CT	06902-3832	10/26/2012
CH01208T	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11620	1203 HIGH RIDGE ROAD	STAMFORD	CT	06905-1214	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.		80 INTERNATIONAL DR.	WINDSOR	CT	06095-1044	01/01/2013	10/12/2018
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 11825	525 FARMINGTON AVENUE	BRISTOL	CT	06010	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10203	25 MAIN ST	BRISTOL	CT	06010-6528	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06992	529 TALCOTTVILLE RD	VERNON ROCKVILLE	CT	06066-2311	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01824	30 HAZARD AVE	ENFIELD	CT	06082	10/26/2012	07/27/2020
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09432	2 SHAKER ROAD	ENFIELD	CT	06082-3112	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09746	1 ELM ST	WINDSOR LOCKS	CT	06096	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07333	1475 MAIN STREET	WILLIMANTIC	CT	06226-1914	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10483	698 BANK ST	NEW LONDON	CT	06320-5040	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02976	399 WEST MAIN	NORWICH	CT	06360	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03944	329 E MAIN ST	BRANFORD	CT	06405	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10261	180 MAIN ST	DEEP RIVER	CT	06417-2039	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12315	49 S. MAIN ST.	NEWTOWN	CT	06470	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09071	49 WASHINGTON AVE	NORTH HAVEN	CT	06473-1704	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07641	359 MAIN ST	SOUTHINGTON	CT	06489-4538	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10647	284 S COLONY RD	WALLINGFORD	CT	06492	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10244	1211 BOSTON POST RD	WESTBROOK	CT	06498-1949	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03192	649 W MAIN ST STE 2	WATERBURY	CT	06702	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21180	60 BANK ST STE 100	WATERBURY	CT	06702	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06966	11 MERIDEN ROAD	WATERBURY	CT	06705-1933	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21268	76 HEIGHTS RD	DARIEN	CT	06820-4128	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06308	55 WESTPORT AVE	NORWALK	CT	06851	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10058	235 MAIN ST	NORWALK	CT	06851	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10177	54 WEST AVE	NORWALK	CT	06854-2225	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11164	46-A DANBURY RD	RIDGEFIELD	CT	06877-4019	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06757	1333 E PUTNAM AVE	RIVERSIDE	CT	06878-1529	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10310	780 E MAIN ST	STAMFORD	CT	06902-3832	10/26/2012
CH01208W	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11620	1203 HIGH RIDGE ROAD	STAMFORD	CT	06905-1214	10/26/2012
CH01208U	WALGREEN EASTERN CO., INC.		80 INTERNATIONAL DR.	WINDSOR	CT	06095-1044	01/01/2013	10/12/2018
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 11825	525 FARMINGTON AVENUE	BRISTOL	CT	06010	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10203	25 MAIN ST	BRISTOL	CT	06010-6528	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06992	529 TALCOTTVILLE RD	VERNON ROCKVILLE	CT	06066-2311	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01824	30 HAZARD AVE	ENFIELD	CT	06082	10/26/2012	07/27/2020
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09432	2 SHAKER ROAD	ENFIELD	CT	06082-3112	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09746	1 ELM ST	WINDSOR LOCKS	CT	06096	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07333	1475 MAIN STREET	WILLIMANTIC	CT	06226-1914	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10483	698 BANK ST	NEW LONDON	CT	06320-5040	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02976	399 WEST MAIN	NORWICH	CT	06360	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03944	329 E MAIN ST	BRANFORD	CT	06405	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10261	180 MAIN ST	DEEP RIVER	CT	06417-2039	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12315	49 S. MAIN ST.	NEWTOWN	CT	06470	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09071	49 WASHINGTON AVE	NORTH HAVEN	CT	06473-1704	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07641	359 MAIN ST	SOUTHINGTON	CT	06489-4538	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10647	284 S COLONY RD	WALLINGFORD	CT	06492	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10244	1211 BOSTON POST RD	WESTBROOK	CT	06498-1949	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03192	649 W MAIN ST STE 2	WATERBURY	CT	06702	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21180	60 BANK ST STE 100	WATERBURY	CT	06702	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06966	11 MERIDEN ROAD	WATERBURY	CT	06705-1933	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21268	76 HEIGHTS RD	DARIEN	CT	06820-4128	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06308	55 WESTPORT AVE	NORWALK	CT	06851	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10058	235 MAIN ST	NORWALK	CT	06851	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10177	54 WEST AVE	NORWALK	CT	06854-2225	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11164	46-A DANBURY RD	RIDGEFIELD	CT	06877-4019	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06757	1333 E PUTNAM AVE	RIVERSIDE	CT	06878-1529	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10310	780 E MAIN ST	STAMFORD	CT	06902-3832	10/26/2012	04/01/2023
CH01208U	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11620	1203 HIGH RIDGE ROAD	STAMFORD	CT	06905-1214	10/26/2012	04/01/2023
CH01208R	WALGREEN EASTERN CO., INC.		80 INTERNATIONAL DR.	WINDSOR	CT	06095-1044	01/01/2013	10/12/2018
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 11825	525 FARMINGTON AVENUE	BRISTOL	CT	06010	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10203	25 MAIN ST	BRISTOL	CT	06010-6528	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06992	529 TALCOTTVILLE RD	VERNON ROCKVILLE	CT	06066-2311	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01824	30 HAZARD AVE	ENFIELD	CT	06082	10/26/2012	07/27/2020
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09432	2 SHAKER ROAD	ENFIELD	CT	06082-3112	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09746	1 ELM ST	WINDSOR LOCKS	CT	06096	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07333	1475 MAIN STREET	WILLIMANTIC	CT	06226-1914	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10483	698 BANK ST	NEW LONDON	CT	06320-5040	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02976	399 WEST MAIN	NORWICH	CT	06360	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03944	329 E MAIN ST	BRANFORD	CT	06405	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10261	180 MAIN ST	DEEP RIVER	CT	06417-2039	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12315	49 S. MAIN ST.	NEWTOWN	CT	06470	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09071	49 WASHINGTON AVE	NORTH HAVEN	CT	06473-1704	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07641	359 MAIN ST	SOUTHINGTON	CT	06489-4538	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10647	284 S COLONY RD	WALLINGFORD	CT	06492	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10244	1211 BOSTON POST RD	WESTBROOK	CT	06498-1949	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03192	649 W MAIN ST STE 2	WATERBURY	CT	06702	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21180	60 BANK ST STE 100	WATERBURY	CT	06702	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06966	11 MERIDEN ROAD	WATERBURY	CT	06705-1933	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21268	76 HEIGHTS RD	DARIEN	CT	06820-4128	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06308	55 WESTPORT AVE	NORWALK	CT	06851	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10058	235 MAIN ST	NORWALK	CT	06851	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10177	54 WEST AVE	NORWALK	CT	06854-2225	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11164	46-A DANBURY RD	RIDGEFIELD	CT	06877-4019	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06757	1333 E PUTNAM AVE	RIVERSIDE	CT	06878-1529	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10310	780 E MAIN ST	STAMFORD	CT	06902-3832	10/26/2012
CH01208R	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11620	1203 HIGH RIDGE ROAD	STAMFORD	CT	06905-1214	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.		80 INTERNATIONAL DR.	WINDSOR	CT	06095-1044	01/01/2013	10/12/2018
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 11825	525 FARMINGTON AVENUE	BRISTOL	CT	06010	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10203	25 MAIN ST	BRISTOL	CT	06010-6528	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06992	529 TALCOTTVILLE RD	VERNON ROCKVILLE	CT	06066-2311	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01824	30 HAZARD AVE	ENFIELD	CT	06082	10/26/2012	07/27/2020
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09432	2 SHAKER ROAD	ENFIELD	CT	06082-3112	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09746	1 ELM ST	WINDSOR LOCKS	CT	06096	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07333	1475 MAIN STREET	WILLIMANTIC	CT	06226-1914	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10483	698 BANK ST	NEW LONDON	CT	06320-5040	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02976	399 WEST MAIN	NORWICH	CT	06360	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03944	329 E MAIN ST	BRANFORD	CT	06405	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10261	180 MAIN ST	DEEP RIVER	CT	06417-2039	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12315	49 S. MAIN ST.	NEWTOWN	CT	06470	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09071	49 WASHINGTON AVE	NORTH HAVEN	CT	06473-1704	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07641	359 MAIN ST	SOUTHINGTON	CT	06489-4538	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10647	284 S COLONY RD	WALLINGFORD	CT	06492	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10244	1211 BOSTON POST RD	WESTBROOK	CT	06498-1949	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03192	649 W MAIN ST STE 2	WATERBURY	CT	06702	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21180	60 BANK ST STE 100	WATERBURY	CT	06702	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06966	11 MERIDEN ROAD	WATERBURY	CT	06705-1933	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21268	76 HEIGHTS RD	DARIEN	CT	06820-4128	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06308	55 WESTPORT AVE	NORWALK	CT	06851	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10058	235 MAIN ST	NORWALK	CT	06851	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10177	54 WEST AVE	NORWALK	CT	06854-2225	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11164	46-A DANBURY RD	RIDGEFIELD	CT	06877-4019	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06757	1333 E PUTNAM AVE	RIVERSIDE	CT	06878-1529	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10310	780 E MAIN ST	STAMFORD	CT	06902-3832	10/26/2012
CH01208S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11620	1203 HIGH RIDGE ROAD	STAMFORD	CT	06905-1214	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.		80 INTERNATIONAL DR.	WINDSOR	CT	06095-1044	01/01/2013	10/12/2018
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 11825	525 FARMINGTON AVENUE	BRISTOL	CT	06010	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10203	25 MAIN ST	BRISTOL	CT	06010-6528	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06992	529 TALCOTTVILLE RD	VERNON ROCKVILLE	CT	06066-2311	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01824	30 HAZARD AVE	ENFIELD	CT	06082	10/26/2012	07/27/2020
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09432	2 SHAKER ROAD	ENFIELD	CT	06082-3112	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09746	1 ELM ST	WINDSOR LOCKS	CT	06096	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07333	1475 MAIN STREET	WILLIMANTIC	CT	06226-1914	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10483	698 BANK ST	NEW LONDON	CT	06320-5040	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02976	399 WEST MAIN	NORWICH	CT	06360	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03944	329 E MAIN ST	BRANFORD	CT	06405	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10261	180 MAIN ST	DEEP RIVER	CT	06417-2039	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12315	49 S. MAIN ST.	NEWTOWN	CT	06470	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09071	49 WASHINGTON AVE	NORTH HAVEN	CT	06473-1704	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07641	359 MAIN ST	SOUTHINGTON	CT	06489-4538	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10647	284 S COLONY RD	WALLINGFORD	CT	06492	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10244	1211 BOSTON POST RD	WESTBROOK	CT	06498-1949	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03192	649 W MAIN ST STE 2	WATERBURY	CT	06702	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21180	60 BANK ST STE 100	WATERBURY	CT	06702	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06966	11 MERIDEN ROAD	WATERBURY	CT	06705-1933	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21268	76 HEIGHTS RD	DARIEN	CT	06820-4128	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06308	55 WESTPORT AVE	NORWALK	CT	06851	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10058	235 MAIN ST	NORWALK	CT	06851	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10177	54 WEST AVE	NORWALK	CT	06854-2225	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11164	46-A DANBURY RD	RIDGEFIELD	CT	06877-4019	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06757	1333 E PUTNAM AVE	RIVERSIDE	CT	06878-1529	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10310	780 E MAIN ST	STAMFORD	CT	06902-3832	10/26/2012
CH01208V	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11620	1203 HIGH RIDGE ROAD	STAMFORD	CT	06905-1214	10/26/2012
CH012080	WALGREEN EASTERN CO., INC.	WALGREENS #19944	71 PALOMBA DR	ENFIELD	CT	06082-3801	10/01/2019
CH012080	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21185	100 RETREAT AVE STE 105	HARTFORD	CT	06106	10/01/2019
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03827	161 WASHINGTON ST	HARTFORD	CT	06106	07/01/2021
CH01208AA	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	10/01/2022
CH01208AE	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02976	399 WEST MAIN	NORWICH	CT	06360	10/01/2022	04/01/2025
CH01208AF	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03827	161 WASHINGTON ST	HARTFORD	CT	06106	10/01/2022
CH01208AG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03944	329 E MAIN ST	BRANFORD	CT	06405	10/01/2022
CH01208AH	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06308	55 WESTPORT AVE	NORWALK	CT	06851	10/01/2022	04/01/2025
CH01208AK	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06757	1333 E PUTNAM AVE	RIVERSIDE	CT	06878-1529	10/01/2022
CH01208AL	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06966	11 MERIDEN ROAD	WATERBURY	CT	06705-1933	10/01/2022
CH01208AM	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	10/01/2022
CH01208AN	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06992	529 TALCOTTVILLE RD	VERNON ROCKVILLE	CT	06066-2311	10/01/2022
CH01208AP	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07333	1475 MAIN STREET	WILLIMANTIC	CT	06226-1914	10/01/2022
CH01208AQ	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07641	359 MAIN ST	SOUTHINGTON	CT	06489-4538	10/01/2022
CH01208AR	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09071	49 WASHINGTON AVE	NORTH HAVEN	CT	06473-1704	10/01/2022
CH01208AS	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09432	2 SHAKER ROAD	ENFIELD	CT	06082-3112	10/01/2022
CH01208AU	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09746	1 ELM ST	WINDSOR LOCKS	CT	06096	10/01/2022
CH01208AW	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10058	235 MAIN ST	NORWALK	CT	06851	10/01/2022	04/01/2025
CH01208AX	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10244	1211 BOSTON POST RD	WESTBROOK	CT	06498-1949	10/01/2022
CH01208AY	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10261	180 MAIN ST	DEEP RIVER	CT	06417-2039	10/01/2022
CH01208AZ	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10310	780 E MAIN ST	STAMFORD	CT	06902-3832	10/01/2022
CH01208BB	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10647	284 S COLONY RD	WALLINGFORD	CT	06492	10/01/2022
CH01208BD	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11164	46-A DANBURY RD	RIDGEFIELD	CT	06877-4019	10/01/2022
CH01208BE	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11620	1203 HIGH RIDGE ROAD	STAMFORD	CT	06905-1214	10/01/2022
CH01208BG	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12315	49 S. MAIN ST.	NEWTOWN	CT	06470	10/01/2022
CH01208BH	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21185	100 RETREAT AVE STE 105	HARTFORD	CT	06106	10/01/2022
CH01208BL	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21268	76 HEIGHTS RD	DARIEN	CT	06820-4128	10/01/2022
CH01208BN	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07759	441 LONG HILL RD	GROTON	CT	06340-4135	10/01/2022
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01977	188 UNION ST	VERNON	CT	06066-2429	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02976	399 WEST MAIN	NORWICH	CT	06360	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03192	649 W MAIN ST STE 2	WATERBURY	CT	06702	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03523	75 MAIN ST # 83	DANBURY	CT	06810	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03944	329 E MAIN ST	BRANFORD	CT	06405	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06308	55 WESTPORT AVE	NORWALK	CT	06851	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06757	1333 E PUTNAM AVE	RIVERSIDE	CT	06878-1529	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06966	11 MERIDEN ROAD	WATERBURY	CT	06705-1933	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #06968	101 FEDERAL ROAD	DANBURY	CT	06811	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06992	529 TALCOTTVILLE RD	VERNON ROCKVILLE	CT	06066-2311	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07333	1475 MAIN STREET	WILLIMANTIC	CT	06226-1914	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07641	359 MAIN ST	SOUTHINGTON	CT	06489-4538	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09071	49 WASHINGTON AVE	NORTH HAVEN	CT	06473-1704	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09432	2 SHAKER ROAD	ENFIELD	CT	06082-3112	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09746	1 ELM ST	WINDSOR LOCKS	CT	06096	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10058	235 MAIN ST	NORWALK	CT	06851	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10177	54 WEST AVE	NORWALK	CT	06854-2225	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10203	25 MAIN ST	BRISTOL	CT	06010-6528	01/01/2023	11/08/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10244	1211 BOSTON POST RD	WESTBROOK	CT	06498-1949	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10261	180 MAIN ST	DEEP RIVER	CT	06417-2039	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10310	780 E MAIN ST	STAMFORD	CT	06902-3832	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10483	698 BANK ST	NEW LONDON	CT	06320-5040	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #10647	284 S COLONY RD	WALLINGFORD	CT	06492	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11164	46-A DANBURY RD	RIDGEFIELD	CT	06877-4019	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11620	1203 HIGH RIDGE ROAD	STAMFORD	CT	06905-1214	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 11825	525 FARMINGTON AVENUE	BRISTOL	CT	06010	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12315	49 S. MAIN ST.	NEWTOWN	CT	06470	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21180	60 BANK ST STE 100	WATERBURY	CT	06702	01/01/2023
CH012080	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #21268	76 HEIGHTS RD	DARIEN	CT	06820-4128	01/01/2023
CH01208CT	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05948	425 W MAIN ST	MERIDEN	CT	06451	10/01/2024
CH01208EN	WALGREEN EASTERN CO., INC.	WALGREENS #19944	71 PALOMBA DR	ENFIELD	CT	06082-3801	04/01/2025
CH01208BJ	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03827	161 WASHINGTON ST	HARTFORD	CT	06106	04/01/2025
CH012080	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	10/01/2020	10/01/2021
CH012080	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/01/2020
CH012080	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	10/01/2020
CH012080	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/01/2020
CH01208BR	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	10/01/2022
CH01208BS	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/01/2022
CH01208BV	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/01/2022
CH012080	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	07/01/2024
CH012080	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	07/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/8/2024 12:09:10 PM	2/14/2025 4:00:05 PM	2/14/2025 4:00 PM
Addresses	Billing Address	Update	Recertification	Community Health Center 575 Main St Middletown, CT 06457	Community Health Center 19 Grand Street Middletown, CT 06457	2/8/2024 12:09 PM
Details	Last Recertification Date	Update	Recertification	2/10/2023 3:57:46 PM	2/8/2024 12:09:10 PM	2/8/2024 12:09 PM
Details	Last Recertification Date	Update	Recertification	2/9/2022 4:53:40 PM	2/10/2023 3:57:46 PM	2/10/2023 3:57 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	10/13/2022 4:19 PM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		004236346	10/13/2022 4:19 PM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		CT	10/13/2022 4:19 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1952591851	2/9/2022 4:53 PM
Medicaid Billing	NPI: State	Insert	Recertification		CT	2/9/2022 4:53 PM
Details	Last Recertification Date	Update	Recertification	2/5/2021 3:11:01 PM	2/9/2022 4:53:40 PM	2/9/2022 4:53 PM
Details	Last Recertification Date	Update	Recertification		2/5/2021 3:11:01 PM	2/5/2021 3:11 PM
Details	State	Update		Approved	Active	4/1/2020 12:05 AM
Contacts	Signed By	Insert	New Registration		Masselli, Mark President and CEO Community Health Center, Inc 8603476971	1/10/2020 3:10 PM
Details	340B ID	Update	New Registration		CH01208EL	1/10/2020 3:10 PM
Dates	Participating Approval Date	Update	New Registration		1/10/2020 3:10:26 PM	1/10/2020 3:10 PM
Details	State	Update	New Registration	Pending	Approved	1/10/2020 3:10 PM
Dates	Signed By Date	Update	New Registration		1/8/2020 10:56:21 AM	1/10/2020 3:10 PM
Dates	Start Date	Update	New Registration		4/1/2020 12:00:00 AM	1/10/2020 3:10 PM
Addresses	Main Address	Insert	New Registration		55 Bailey Rd North Haven, CT 06473-2652	1/8/2020 10:56 AM
Addresses	Billing Address	Insert	New Registration		Community Health Center 575 Main St Middletown, CT 06457	1/8/2020 10:56 AM
Contacts	Primary Contact	Insert	New Registration		FLINTER, MARGARET VP/CLINICAL DIRECTOR Community Health Center, Inc. 8603476971	1/8/2020 10:56 AM
Contacts	Authorizing Official	Insert	New Registration		Masselli, Mark President and CEO Community Health Center, Inc 8603476971	1/8/2020 10:56 AM
Details	Last Recertification Date	Insert	New Registration			1/8/2020 10:56 AM
Details	Grant Number	Insert	New Registration		H80CS00326	1/8/2020 10:56 AM
Details	340B ID	Insert	New Registration			1/8/2020 10:56 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/8/2020 10:56 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/8/2020 10:56 AM
Details	Medicare Provider Number	Insert	New Registration			1/8/2020 10:56 AM
Details	Entity Name	Insert	New Registration		COMMUNITY HEALTH CENTER, INCORPORATED	1/8/2020 10:56 AM
Details	Program Code	Insert	New Registration		CH	1/8/2020 10:56 AM
Details	Entity Subname	Insert	New Registration		North Haven Middle School SBHC	1/8/2020 10:56 AM
Dates	Participating Approval Date	Insert	New Registration			1/8/2020 10:56 AM
Details	State	Insert	New Registration		Pending	1/8/2020 10:56 AM
Dates	Registration Date	Insert	New Registration		1/8/2020 10:56:19 AM	1/8/2020 10:56 AM
Dates	Signed By Date	Insert	New Registration			1/8/2020 10:56 AM
Dates	Start Date	Insert	New Registration			1/8/2020 10:56 AM
Terminations	Termination Comments	Insert	New Registration			1/8/2020 10:56 AM
Terminations	Termination Date	Insert	New Registration			1/8/2020 10:56 AM
Terminations	Termination Effective Date	Insert	New Registration			1/8/2020 10:56 AM
Terminations	Termination Reason	Insert	New Registration			1/8/2020 10:56 AM

340B Drug Pricing Program Database