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CAPE COD HEALTHCARE PHARMACY AT CCH
CH011720 Duffy Health Center, Inc.
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Covered Entity Details
Entity Name
Duffy Health Center, Inc.
Subdivision Name
St. Joseph's House
Type
HRSA-Funded Health Center
340B ID
CH011720
Entity Address
77 Winter St.
Hyannis, MA 02601-5553
Grant Number
H80CS00271
Participating Start Date
10/1/2002
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
CAPE COD HEALTHCARE PHARMACY AT CCH
Pharmacy Address
27 PARK ST
HYANNIS, MA 02601-5230
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Heidi Nelson, CEO
(508) 771-7517 Ext: 101
Contract Pharmacy Representative
Cape Cod Healthcare
Angela M Medeiros, Pharmacy Director
(508) 862-5903
Signed By Date
1/17/2023
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