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MAIN STREET PHARMACY #2
RWI06810 Apex Community Care, Inc.
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Covered Entity Details
Entity Name
Apex Community Care, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI06810
Entity Address
30 WEST STREET
DANBURY, CT 06810-7842
Grant Number
H89HA00029
Participating Start Date
7/1/2014
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
MAIN STREET PHARMACY #2
Pharmacy Address
345 MAIN ST
STE 7
DANBURY, CT 06810-5847
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roberta Stewart, CEO
(203) 778-2437
Contract Pharmacy Representative
Main Street Pharmacy
Jack Yeung, Owner
(203) 297-6130
Signed By Date
4/15/2019
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