Contract Pharmacy Details

CONNECTICUT CVS PHARMACY, L.L.C.
CHC29000-06 UNITED COMMUNITY SERVICES INC

Covered Entity Details

Entity Name

UNITED COMMUNITY SERVICES INC

Subdivision Name

UCFS at Waterford Country School

Type

HRSA-Funded Health Center

340B ID

CHC29000-06

Entity Address

78 Hunts Brook Rd
Quaker Hill, CT 06375-1009

Grant Number

H80CS29000

Participating Start Date

1/1/2016

Last Recertification Date

2/21/2022

Entity Termination Date

4/1/2023

Pharmacy Details

Pharmacy Name

CONNECTICUT CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 02839
2005 NORWICH - NEW LONDON TPKE
UNCASVILLE, CT 06382

Pharmacy Comments

Contract Details

Approval Date

4/14/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Jennifer Granger, President/CEO
(860) 822-4143

Contract Pharmacy Representative

United Community & Family Services
Sharon Laliberte, Compliance Officer
(860) 822-4148

Signed By Date

4/14/2022

340B Drug Pricing Program Database