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THE STOP & SHOP SUPERMRKT CO
CH010800 FAMILY HEALTH CENTER OF WORCESTER, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Subdivision Name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH010800
Entity Address
26 Queen St
Worcester, MA 01610-2473
Grant Number
H80CS00452
Participating Start Date
10/1/1999
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
THE STOP & SHOP SUPERMRKT CO
Pharmacy Address
STOP & SHOP PHARMACY #2418
126 MEDWAY ROAD
MILFORD, MA 01757
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
4/16/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Louis Arthur Brady, CEO
(617) 519-3117
Contract Pharmacy Representative
Stop and Shop
David Dunn, Pharmacy Operations Manager
(774) 644-1263
Signed By Date
4/14/2022
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