340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

IC PHARMACY LLC
CH01241F STAYWELL HEALTH CARE, INC.

Covered Entity Details

Wallace School Based Health Center
HRSA-Funded Health Center
CH01241F
3465 E Main St
Waterbury, CT 06705-3815
H80CS00350
4/1/2015
2/16/2023
4/1/2024


Pharmacy Details

AMAZON PHARMACY #004
34 35TH STREET
STE 4BSW, UNIT 28
BROOKLYN, NY 11232

Contract Details

7/15/2020
10/1/2020

9/29/2023
OPA Terminated due to audit finding


Contacts


Donald Thompson, CEO
(203) 756-8021 Ext: 3016



PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725
7/15/2020