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CONNECTICUT CVS PHARMACY, L.L.C.
CHC29000-07 UNITED COMMUNITY SERVICES INC
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Covered Entity Details
Entity Name
UNITED COMMUNITY SERVICES INC
Subdivision Name
UCFS Behavioral Health Center - New London
Type
HRSA-Funded Health Center
340B ID
CHC29000-07
Entity Address
351 N FRONTAGE RD, SUITE 24
NEW LONDON, CT 06320-2628
Grant Number
H80CS29000
Participating Start Date
4/1/2016
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
CONNECTICUT CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04473
15 CHESTERFIELD RD.
EAST LYME, CT 06333
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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