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CH01189A Charles River Community Health at Waltham (Active)
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Main Details
Name
Charles River Community Health at Waltham
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020949
340B ID
CH01189A
Grant Number
H80CS00378
Additional Details
Current Program Status
Active
Registration Date
4/24/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
Last Recertification Date
2/27/2025
Contacts
Authorizing Official
Charles River Community Health
Matthew L. Mullaney, Chief Executive Officer
(781) 400-6221
Primary Contact
Charles River Community Health
Benjamin Sturm, Director of Pharmacy
(617) 870-7448
Addresses
Street Address
43 Foundry Avenue
Suite 110
Waltham, MA 02453-8313
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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