340B Drug Pricing Program Database
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CHC12867-01 Harbor Homes, Inc. (Terminated)
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Main Details
Name
Harbor Homes, Inc.
Subdivision Name
Harbor Care Health and Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021583
340B ID
CHC12867-01
Grant Number
H80CS12867
Additional Details
Current Program Status
Terminated
Registration Date
1/2/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/10/2019
Last Recertification Date
2/10/2021
Termination Date
Termination Reason
4/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Harbor Care Health & Wellness Center
Jonathan W Brown, Clinic Director
(603) 816-7983
Primary Contact
Harbor Care Health and Wellness Center
Jay Gupta, Director of Pharmacy
(603) 816-6958 Ext: 4021
Addresses
Street Address
12 Amherst St
Nashua, NH 03064-2663
Billing Address
Harbor Homes
77 Northeastern Blvd
Nashua, NH 03062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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