Contract Pharmacy Details

CONNECTICUT CVS PHARMACY, L.L.C.
DSH070035 The Hospital of Central Connecticut

Covered Entity Details

Entity Name

The Hospital of Central Connecticut

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH070035

Entity Address

100 Grand St.
New Britain, CT 06052

Medicare Provider Number

070035

Participating Start Date

7/1/2013

Last Recertification Date

8/27/2024

Pharmacy Details

Pharmacy Name

CONNECTICUT CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 00840
908-910 MAPLE AVENUE
HARTFORD, CT 06114

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

1/18/2021
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Sean Michael Curtin, Vice President, Finance, Hartford Region
(860) 545-0585

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/14/2020

340B Drug Pricing Program Database