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WALGREEN EASTERN CO., INC.
CH01241L Staywell Health Care, Inc.
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Covered Entity Details
Entity Name
Staywell Health Care, Inc.
Subdivision Name
Wilby School-Based Health Center
Type
HRSA-Funded Health Center
340B ID
CH01241L
Entity Address
568 Bucks Hill Road
Waterbury, CT 06704-0670
Grant Number
H80CS00350
Participating Start Date
7/1/2019
Last Recertification Date
2/16/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 07258
370 MAIN STREET S
SOUTHBURY, CT 06488-4200
Pharmacy Comments
Contract Details
Approval Date
1/14/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Donald Thompson, CEO
(203) 756-8021 Ext: 3016
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2020
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