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CVS MANCHESTER NH, L.L.C.
CHC00295-00 HEALTHFIRST FAMILY CARE CENTER, Inc.
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Covered Entity Details
Entity Name
HEALTHFIRST FAMILY CARE CENTER, Inc.
Subdivision Name
HEALTH FIRST FAMILY CARE CENTER
Type
HRSA-Funded Health Center
340B ID
CHC00295-00
Entity Address
841 Central St
Franklin, NH 03235-2026
Grant Number
H80CS00295
Participating Start Date
7/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CVS MANCHESTER NH, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02257
250 MAMMOTH ROAD
MANCHESTER, NH 03109
Pharmacy Comments
Contract Details
Approval Date
4/3/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ted Bolognani, CFO
(603) 934-0177 Ext: 115
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/3/2020
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