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THE STOP & SHOP SUPERMARKT CO
CH01241J STAYWELL HEALTH CARE, INC.
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Covered Entity Details
Entity Name
STAYWELL HEALTH CARE, INC.
Subdivision Name
StayWell Health Center at St. V's
Type
HRSA-Funded Health Center
340B ID
CH01241J
Entity Address
114 Benedict St
Waterbury, CT 06706-1007
Grant Number
H80CS00350
Participating Start Date
1/1/2017
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
THE STOP & SHOP SUPERMARKT CO
Pharmacy Address
DBA STOP & SHOP PHARMACY#618
410 REIDVILLE DRIVE
WATERBURY, CT 06705
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald Thompson, CEO
(203) 756-8021 Ext: 3016
Contract Pharmacy Representative
Hannaford Bros. Co., LLc
Deanne Sargent, Manager Pharmacy Network & Buisness Development
(207) 885-3044
Signed By Date
7/15/2020
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