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D.A.W., LLC.
CH01143AT Lynn Community Health, Inc.
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Covered Entity Details
Entity Name
Lynn Community Health, Inc.
Subdivision Name
William R Fallon Elementary School, School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CH01143AT
Entity Address
100 Robinson St
Lynn, MA 01905-1816
Grant Number
H80CS00624
Participating Start Date
4/1/2020
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
D.A.W., LLC.
Pharmacy Address
EATON APOTHECARY #3035
2 CENTENNIAL DR
STE 1A
PEABODY, MA 01960
Pharmacy Comments
Contract Details
Approval Date
3/6/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
7/1/2020
Contract Comments
Contract Termination Date
Termination Reason
1/16/2024
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
(800) 223-2988 Ext: 7115
Signed By Date
1/8/2020
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