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CVS PHARMACY, INC.
CH011280 DIMOCK COMM HEALTH CENTER
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Covered Entity Details
Entity Name
DIMOCK COMM HEALTH CENTER
Subdivision Name
DIMOCK COMM HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH011280
Entity Address
45 DIMOCK ST
ROXBURY, MA 02119
Grant Number
H80CS00151
Participating Start Date
7/1/2003
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
CVS/PHARMACY # 11301
55 DIMOCK ST.
ROXBURY, MA 02119
Pharmacy Comments
Contract Details
Approval Date
6/26/2019
Contract Begin Date
6/29/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/31/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Myechia minter-Jordan, CEO
(617) 442-8800 Ext: 1201
Contract Pharmacy Representative
Dimock/CVS Health
Stacy Longo, Pharmacist
(617) 442-8800 Ext: 1664
Signed By Date
6/26/2019
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