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CVS PHARMACY, INC.
CHC07928-02 SOUTH BOSTON COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SOUTH BOSTON COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Seaport
Type
HRSA-Funded Health Center
340B ID
CHC07928-02
Entity Address
505 Congress Street
South Boston, MA 02210
Grant Number
H80CS07928
Participating Start Date
4/1/2018
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 00979
423 WEST BROADWAY
SOUTH BOSTON, MA 02127
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
WILLIAM J. HALPIN Jr., CEO
(617) 464-7509
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/17/2018
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