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CONNECTICUT CVS PHARMACY, L.L.C.
CHC29000-04 UNITED COMMUNITY SERVICES INC
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Covered Entity Details
Entity Name
UNITED COMMUNITY SERVICES INC
Subdivision Name
Norwich Technical High School - School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29000-04
Entity Address
7 MAHAN DR
NORWICH, CT 06360-2425
Grant Number
H80CS29000
Participating Start Date
1/1/2016
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
CONNECTICUT CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00377
915 POQUONNOCK RD.
GROTON, CT 06340
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
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2022
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