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CVS PHARMACY, INC.
CH010600 FENWAY COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
FENWAY COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Fenway Health, Ansin Building
Type
HRSA-Funded Health Center
340B ID
CH010600
Entity Address
1340 Boylston St
Boston, MA 02215
Grant Number
H80CS00303
Participating Start Date
1/1/2004
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA CVS/PHARMACY #11082
341 HARRISON AVENUE
BOSTON, MA 02118
Pharmacy Comments
Contract Details
Approval Date
6/19/2022
Contract Begin Date
6/21/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Luis Rivera, Chief Financial Officer
(857) 347-4928
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
6/19/2022
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