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D.A.W., LLC
CH01143AS Lynn Community Health, Inc.
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Covered Entity Details
Entity Name
Lynn Community Health, Inc.
Subdivision Name
Lynn Vocational Technical High School, School Based Health Center, Annex
Type
HRSA-Funded Health Center
340B ID
CH01143AS
Entity Address
90 Commercial St
Lynn, MA 01905-2906
Grant Number
H80CS00624
Participating Start Date
1/1/2020
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
D.A.W., LLC
Pharmacy Address
D/B/A CVS/PHARMACY # 11265
270 UNION STREET
LYNN, MA 01901
Pharmacy Comments
Contract Details
Approval Date
10/9/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
1/1/2020
Contract Comments
Contract Termination Date
Termination Reason
1/31/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Kiame Mahaniah, Chief Executive Officer
(781) 596-2502 Ext: 2707
Contract Pharmacy Representative
Eaton Apothecary
John H. Lynch, General Manager
(401) 665-9677
Signed By Date
10/9/2019
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