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UNITY PHARMACY BRIDGEPORT
CH010810 South-West Community Health Center, Inc.
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Covered Entity Details
Entity Name
South-West Community Health Center, Inc.
Subdivision Name
SOUTHWEST COMMUNITY HLTH CTR, INC
Type
HRSA-Funded Health Center
340B ID
CH010810
Entity Address
46 Albion St
Bridgeport, CT 06605-2602
Grant Number
H80CS00613
Participating Start Date
1/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
UNITY PHARMACY BRIDGEPORT
Pharmacy Address
679 FAIRFIELD AVE
BRIDGEPORT, CT 06604-3906
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/20/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Mollie Melbourne, President/CEO
(203) 332-3501
Contract Pharmacy Representative
Unity Pharmacy Bridgeport
Naga Mulpuri, Manager
(203) 870-4711
Signed By Date
4/14/2020
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