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CONNECTICUT CVS PHARMACY, L.L.C.
CHC29000-08 UNITED COMMUNITY SERVICES INC
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Covered Entity Details
Entity Name
UNITED COMMUNITY SERVICES INC
Subdivision Name
UCFS at Kelly STEAM Magnet Middle School
Type
HRSA-Funded Health Center
340B ID
CHC29000-08
Entity Address
25 Mahan Dr
Norwich, CT 06360-2432
Grant Number
H80CS29000
Participating Start Date
1/1/2018
Last Recertification Date
2/23/2025
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
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
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