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PRIME THERAPEUTICS SPECIALTY PHARMACY LL
CH01208BQ COMMUNITY HEALTH CENTER, INCORPORATED
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER, INCORPORATED
Subdivision Name
J.M. Wright Technical High School SBHC
Type
HRSA-Funded Health Center
340B ID
CH01208BQ
Entity Address
120 BRIDGE ST
STAMFORD, CT 06905-4401
Grant Number
H80CS00326
Participating Start Date
1/1/2018
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
PRIME THERAPEUTICS SPECIALTY PHARMACY LL
Pharmacy Address
ALLIANCERX WALGREENS PRIME #16568
2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDO, FL 32819-9992
Pharmacy Comments
Contract Details
Approval Date
8/31/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Masselli, President and CEO
(860) 347-6971
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
8/31/2022
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