Contract Pharmacy Details

STOLL'S PHARMACY INC
CH01241L Staywell Health Care, Inc.

Entity Name

Staywell Health Care, Inc.

Subdivision Name

Wilby School-Based Health Center

Type

HRSA-Funded Health Center

340B ID

CH01241L

Entity Address

568 Bucks Hill Road
Waterbury, CT 06704-0670

Grant Number

H80CS00350

Participating Start Date

7/1/2019

Last Recertification Date

2/16/2023

Entity Termination Date

4/1/2024

Pharmacy Name

STOLL'S PHARMACY INC

Pharmacy Address

185 GROVE ST
WATERBURY, CT 06710-2289

Pharmacy Comments

Approval Date

4/15/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date

4/1/2024

Termination Reason

Covered Entity Terminated

Covered Entity Signing Official

Donald Thompson, CEO
(203) 756-8021 Ext: 3016

Signed By Date

4/15/2019

Contract Pharmacy Representative

Stoll's Pharmacy
Edward Schreiner Jr., Corporation President
(203) 575-0199