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WAL-MART CENTRAL FILL 10-2670
CHC16640-10 CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.
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Covered Entity Details
Entity Name
CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.
Subdivision Name
Greater Danbury Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC16640-10
Entity Address
120 Main St
Danbury, CT 06810-7834
Grant Number
H80CS16640
Participating Start Date
4/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Katherine Curran, President & CEO
(203) 743-0100 Ext: 3421
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/15/2021
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