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WALGREEN EASTERN CO., INC.
CHC29000-05 UNITED COMMUNITY SERVICES INC
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Covered Entity Details
Entity Name
UNITED COMMUNITY SERVICES INC
Subdivision Name
Montville High School - School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29000-05
Entity Address
800 Old Colchester Rd
Oakdale, CT 06370-2608
Grant Number
H80CS29000
Participating Start Date
1/1/2016
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #17929
20 PROSPECT ST
MOOSUP, CT 06354
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer Granger, President/CEO
(860) 822-4143
Contract Pharmacy Representative
United Community & Family Services
Sharon Laliberte, Compliance Officer
(860) 822-4148
Signed By Date
10/12/2018
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