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CVS PHARMACY, INC.
CH011640 MANET COMMUNITY HEALTH CENTER, INCORPORATED
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Covered Entity Details
Entity Name
MANET COMMUNITY HEALTH CENTER, INCORPORATED
Subdivision Name
MANET COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH011640
Entity Address
110 W Squantum St
Quincy, MA 02171-2122
Grant Number
H80CS00453
Participating Start Date
4/1/2003
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 02283
715 MORRISSEY BOULEVARD
DORCHESTER, MA 02122
Pharmacy Comments
Contract Details
Approval Date
10/2/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sylvia Carter, Finance
(617) 404-4096
Contract Pharmacy Representative
Wellpartner
Jessica Thomas, Senior Account Manager
(212) 419-4046
Signed By Date
10/2/2019
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