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CONNECTICUT CVS PHARMACY, L.L.C.
RWI06030A University of Connecticut Health Center
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Covered Entity Details
Entity Name
University of Connecticut Health Center
Subdivision Name
Division of Infectious Diseases/Infectious Diseases Clinic
Type
Ryan White Part A
340B ID
RWI06030A
Entity Address
800 Connecticut Boulevard
East Hartford, CT 06108
Grant Number
H89HA00044
Participating Start Date
10/1/2021
Last Recertification Date
3/2/2025
Pharmacy Details
Pharmacy Name
CONNECTICUT CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04436
241 MIDDLE TURNPIKE WEST
MANCHESTER, CT 06040
Pharmacy Comments
Contract Details
Approval Date
7/8/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin Chamberlin, Associate Vice President and Chief Pharmacy Officer
(860) 679-2281
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/8/2023
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