340B Drug Pricing Program Database
CONNECTICUT CVS PHARMACY, L.L.C.
CH01241H STAYWELL HEALTH CARE, INC. - information as of 4/30/2025 11:18:58 PM
Covered Entity Details
Entity Name
STAYWELL HEALTH CARE, INC.
Subdivision Name
StayWell Naugatuck Health Center
Type
HRSA-Funded Health Center
340B ID
CH01241H
Entity Address
30 Church Street
Naugatuck, CT 06770
Grant Number
H80CS00350
Participating Start Date
1/1/2017
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
CONNECTICUT CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00718
24 PERSHING DR # 36
ANSONIA, CT 06401-2214
Pharmacy Comments
Contract Details
Approval Date
1/14/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald Thompson, CEO
(203) 756-8021 Ext: 3016
Contract Pharmacy Representative
CVS
Christian Reid, 340B Program Director, CVS Pharmacy
(401) 770-2118
Signed By Date
1/14/2020
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