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CONNECTICUT CVS PHARMACY, L.L.C.
STD065193 Anchor Health Initiative
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Covered Entity Details
Entity Name
Anchor Health Initiative
Subdivision Name
AHI- New Haven
Type
Sexually Transmitted Diseases
340B ID
STD065193
Entity Address
2200 Whitney Ave
Suite 290
290
Hamden, CT 06518
Grant Number
6 NH25PS005155—05-03
Participating Start Date
7/1/2018
Last Recertification Date
5/29/2024
Pharmacy Details
Pharmacy Name
CONNECTICUT CVS PHARMACY, L.L.C.
Pharmacy Address
CVS/PHARMACY # 11081
1245 DIXWELL AVE
HAMDEN, CT 06514
Pharmacy Comments
Contract Details
Approval Date
1/12/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patricia Chadwick, CEO
(203) 674-1102
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/12/2023
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