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MANCHESTER PHARMACY
CH013370 First Choice Health Centers, Inc.
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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
MANCHESTER PHARMACY
Pharmacy Address
348 MAIN STREET
MANCHESTER, CT 06040
Pharmacy Comments
Contract Details
Approval Date
4/9/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eugene Market, President & CEO
(860) 610-6131
Contract Pharmacy Representative
Manchester Pharmacy
Venkata Kamal Swami, Pharmacy Representative
(860) 649-1025
Signed By Date
4/9/2019
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