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CVS PHARMACY, INC.
CH01070D BROCKTON NEIGHBORHOOD HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
BROCKTON NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
BNHC finance site
Type
HRSA-Funded Health Center
340B ID
CH01070D
Entity Address
71 Legion Parkway
Brockton, MA 02301
Grant Number
H80CS00560
Participating Start Date
10/1/2018
Last Recertification Date
2/7/2022
Entity Termination Date
1/1/2023
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 01248
240 OAK STREET
BROCKTON, MA 02301
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
SUSAN G. JOSS, Senior Advisor
(508) 894-3203
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2018
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