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D.A.W., LLC.
CH01143AR Lynn Community Health, Inc.
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Covered Entity Details
Entity Name
Lynn Community Health, Inc.
Subdivision Name
Washington Elementary School, School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CH01143AR
Entity Address
58 Blossom St
Lynn, MA 01902-4508
Grant Number
H80CS00624
Participating Start Date
1/1/2019
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
D.A.W., LLC.
Pharmacy Address
EATON APOTHECARY #3035
2 CENTENNIAL DR
STE 1A
PEABODY, MA 01960
Pharmacy Comments
Contract Details
Approval Date
10/24/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
4/1/2019
Contract Comments
Contract Termination Date
Termination Reason
1/16/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Kiame Mahaniah, Chief Executive Officer
(781) 596-2502 Ext: 2707
Contract Pharmacy Representative
Eaton Apothecary
John H. Lynch, General Manager
(401) 665-9677
Signed By Date
10/3/2018
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