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AMAZON PHARMACY #006
CH010330 HILLTOWN COMMUNITY HEALTH CENTERS, INC
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Covered Entity Details
Entity Name
HILLTOWN COMMUNITY HEALTH CENTERS, INC
Subdivision Name
Worthington Health Center
Type
HRSA-Funded Health Center
340B ID
CH010330
Entity Address
58 Old North Rd
Worthington, MA 01098-9753
Grant Number
H80CS00601
Participating Start Date
10/1/1999
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AMAZON PHARMACY #006
Pharmacy Address
3620 PLAINFIELD RD
INDIANAPOLIS, IN 46231-7003
Pharmacy Comments
Contract Details
Approval Date
4/5/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
John Melehov, CFO
(413) 238-4116
Contract Pharmacy Representative
Amazon Pharmacy
Spencer Trygg, Sr. Account Manager
(855) 745-5725
Signed By Date
4/5/2023
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