340B Drug Pricing Program Database
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HV30934 StayWell Health Care Inc. (Active)
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Main Details
Name
StayWell Health Care Inc.
Subdivision Name
Type
Ryan White Part C
340B ID
HV30934
Grant Number
H76HA30934
Additional Details
Current Program Status
Active
Registration Date
10/12/2017
Participating Start Date
1/1/2018
Participating Approval Date
11/22/2017
Last Recertification Date
2/12/2025
Time Period the Assistance was Received
4/1/2022 - 3/31/2025
Contacts
Authorizing Official
StayWell Health Care Inc.
Donald Thompson, CEO
(203) 756-8021 Ext: 3016
Primary Contact
StayWell Health Care Inc.
Donna DeRosa, Executive Assistant
(203) 756-8021 Ext: 3013
Addresses
Street Address
80 Phoenix Ave
201
Waterbury, CT 06702
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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12/29/17 OPA corrected 340B ID to HV30934 from RWI067021
12/29/2017
April 2025
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