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CORNERSTONE PHARMACY
RWII06850 Mid Fairfield AIDS Project
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Covered Entity Details
Entity Name
Mid Fairfield AIDS Project
Subdivision Name
Type
Ryan White Part B
340B ID
RWII06850
Entity Address
618 West Avenue
Norwalk, CT 06850
Grant Number
X07HA00022
Participating Start Date
1/1/2016
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CORNERSTONE PHARMACY
Pharmacy Address
134 STILLWATER AVE
STAMFORD, CT 06902-4839
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/4/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Stuart Lane, Executive Director
(203) 855-9535
Contract Pharmacy Representative
CORNERSTONE PHARMACY
John Ciuffo, Owner/Manager
(203) 324-0251
Signed By Date
10/14/2019
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