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ACARIAHEALTH PHARMACY #12, INC.
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
ACARIAHEALTH PHARMACY #12, INC.
Pharmacy Address
5 SKYLINE DR STE 240
HAWTHORNE, NY 10532-2166
Pharmacy Comments
Contract Details
Approval Date
7/7/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KATHERINE S. YACAVONE, CEO
(203) 332-3502
Contract Pharmacy Representative
Acariahealth Pharmacy, Inc
Rob Jarvis, Vice President, Pharmacy Relations & Business Strategy
(304) 552-4119
Signed By Date
7/7/2017
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