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ST JAY PHARMACY INC DBA
CH01098B AMMONOOSUC COMMUNITY HEALTH SERVICES INC
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Covered Entity Details
Entity Name
AMMONOOSUC COMMUNITY HEALTH SERVICES INC
Subdivision Name
ACHS - Woodsville
Type
HRSA-Funded Health Center
340B ID
CH01098B
Entity Address
79 Swiftwater Rd
Woodsville, NH 03785-1447
Grant Number
H80CS00554
Participating Start Date
7/1/2006
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
ST JAY PHARMACY INC DBA
Pharmacy Address
WELLS RIVER PHARMACY
PO BOX 671
41 MAIN STREET NORTH
WELLS RIVER, VT 05081
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
10/1/2007
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/7/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
EDWARD D. SHANSHALA II, CEO
(603) 444-8223
Contract Pharmacy Representative
Signed By Date
1/12/2012
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