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CONNECTICUT CVS PHARMACY, L.L.C.
STD06851 WORLD HEALTH CLINICIANS
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Covered Entity Details
Entity Name
WORLD HEALTH CLINICIANS
Subdivision Name
CIRCLE CARE CENTER
Type
Sexually Transmitted Diseases
340B ID
STD06851
Entity Address
618 West Avenue
Norwalk, CT 06850
Grant Number
6NH25PS005155
Participating Start Date
4/1/2011
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
CONNECTICUT CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00854
327 MAIN AVENUE
NORWALK, CT 06851
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Hammond, CEO
(203) 852-9525 Ext: 310
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2019
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