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AHSSHC
CH010800 FAMILY HEALTH CENTER OF WORCESTER, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Subdivision Name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH010800
Entity Address
26 Queen St
Worcester, MA 01610-2473
Grant Number
H80CS00452
Participating Start Date
10/1/1999
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AHSSHC
Pharmacy Address
EXPEDIEN RX PHARMACY
5050 WESLEY RD STE 120
APOPKA, FL 32712
Pharmacy Comments
Contract Details
Approval Date
7/11/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Louis Arthur Brady, CEO
(617) 519-3117
Contract Pharmacy Representative
Agape
Trenia Yielding, Executive Director
(407) 357-2601
Signed By Date
7/11/2019
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