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CVS PHARMACY, INC.
CH010330 HILLTOWN COMMUNITY HEALTH CENTERS, INC
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Covered Entity Details
Entity Name
HILLTOWN COMMUNITY HEALTH CENTERS, INC
Subdivision Name
Worthington Health Center
Type
HRSA-Funded Health Center
340B ID
CH010330
Entity Address
58 Old North Rd
Worthington, MA 01098-9753
Grant Number
H80CS00601
Participating Start Date
10/1/1999
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 02401
1880 OCEAN STREET
MARSHFIELD, MA 02050
Pharmacy Comments
Contract Details
Approval Date
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/3/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
John Melehov, CFO
(413) 238-4116
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2021
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