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JMS PHARMACY MANAGEMENT
CH0112230 COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION
Subdivision Name
CHC'S OF RUTLAND REGION, INC.
Type
HRSA-Funded Health Center
340B ID
CH0112230
Entity Address
275 Route 30 N
Bomoseen, VT 05732-9647
Grant Number
H80CS06659
Participating Start Date
7/1/2006
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
JMS PHARMACY MANAGEMENT
Pharmacy Address
DBA CASTLETON HEALTH CENTER PHARMACY
275 ROUTE 30 NORTH
BOMOSEEN, VT 05732-9647
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
12/5/2008
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/31/2015
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
12/2/2008
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