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WALGREEN EASTERN CO., INC.
RWI06030 University of Connecticut Health Center
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Covered Entity Details
Entity Name
University of Connecticut Health Center
Subdivision Name
Division of Infectious Diseases / Infectious Diseases Clinic
Type
Ryan White Part A
340B ID
RWI06030
Entity Address
263 Farmington Avenue
Farmington, CT 06030-3212
Grant Number
H89HA00044
Participating Start Date
1/1/2012
Last Recertification Date
3/2/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #17537
329 ELLINGTON RD
EAST HARTFORD, CT 06108
Pharmacy Comments
Contract Details
Approval Date
7/13/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Kimberly Metcalf, AVP Pharmacy and Ancillary Services
(860) 679-7943
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/13/2018
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