Contract Pharmacy Details

BEACON PHARMACY LLC
CH013370 First Choice Health Centers, Inc.

Covered Entity Details

Entity Name

First Choice Health Centers, Inc.

Subdivision Name

First Choice Health Centers, Inc

Type

HRSA-Funded Health Center

340B ID

CH013370

Entity Address

94 Connecticut Blvd
East Hartford, CT 06108-3013

Grant Number

H80CS00262

Participating Start Date

4/1/2001

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

BEACON PHARMACY LLC

Pharmacy Address

42 WINDSOR AVE
STE 1
VERNON ROCKVILLE, CT 06066

Pharmacy Comments

Contract Details

Approval Date

7/29/2016

Contract Begin Date

10/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/13/2017
Agreement registered in error

Contacts

Covered Entity Signing Official

Eugene Market, President & CEO
(860) 610-6131

Contract Pharmacy Representative

Akash Patel, Owner
(860) 875-9263

Signed By Date

7/29/2016