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TAI TUNG PHARMACY INC
CH01071A SOUTH COVE COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Washington Street Clinic
Type
HRSA-Funded Health Center
340B ID
CH01071A
Entity Address
885 Washington St
Boston, MA 02111-1415
Grant Number
H80CS00600
Participating Start Date
7/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
TAI TUNG PHARMACY INC
Pharmacy Address
256 HARRISON AVE
BOSTON, MA 02111
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
3/31/2005
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2024
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/28/2005
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