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CVS PHARMACY, INC.
CHC07928-00 SOUTH BOSTON COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SOUTH BOSTON COMMUNITY HEALTH CENTER, INC.
Subdivision Name
SOUTH BOSTON COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC07928-00
Entity Address
409 W Broadway
Boston, MA 02127-2245
Grant Number
H80CS07928
Participating Start Date
4/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 00717
36 WHITE STREET
CAMBRIDGE, MA 02140
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kim Harrison, CFO
(617) 464-7460
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/14/2021
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