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CONNECTICUT PHARMACY EAST ROCK LTC, LLC
CH010060 FAIR HAVEN COMMUNITY HEALTH CLINIC INC
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Covered Entity Details
Entity Name
FAIR HAVEN COMMUNITY HEALTH CLINIC INC
Subdivision Name
FAIR HAVEN COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH010060
Entity Address
374 Grand Ave
New Haven, CT 06513-3733
Grant Number
H80CS00741
Participating Start Date
7/1/2003
Last Recertification Date
2/15/2025
Pharmacy Details
Pharmacy Name
CONNECTICUT PHARMACY EAST ROCK LTC, LLC
Pharmacy Address
EAST ROCK PHARMACY
10 FAIRFIELD BLVD UNIT C2
WALLINGFORD, CT 06492-5903
Pharmacy Comments
Contract Details
Approval Date
4/9/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/22/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
SUZANNE LAGARDE, CEO
(203) 752-5129
Contract Pharmacy Representative
Ka Wa Chan, RPh
(203) 691-5405
Signed By Date
4/9/2015
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