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D.A.W., LLC.
HV02301 BROCKTON NEIGHBORHOOD HEALTH CENTER
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Covered Entity Details
Entity Name
BROCKTON NEIGHBORHOOD HEALTH CENTER
Subdivision Name
Type
Ryan White Part C
340B ID
HV02301
Entity Address
63 MAIN STREET
BROCKTON, MA 02301
Grant Number
H76HA00755
Participating Start Date
4/1/2005
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
D.A.W., LLC.
Pharmacy Address
CVS/PHARMACY # 11268
63 MAIN ST
BROCKTON, MA 02301-4042
Pharmacy Comments
Contract Details
Approval Date
1/29/2007
Contract Begin Date
1/29/2007
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/15/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
1/29/2007
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