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CONNECTICUT CVS PHARMACY, L.L.C.
STD060331 WORLD HEALTH CLINICIANS
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Covered Entity Details
Entity Name
WORLD HEALTH CLINICIANS
Subdivision Name
CIRCLE CARE CENTER
Type
Sexually Transmitted Diseases
340B ID
STD060331
Entity Address
300 Hebron Avenue
113
Glastonbury, CT 06033
Grant Number
6NH25PS005155
Participating Start Date
1/1/2024
Last Recertification Date
5/13/2024
Pharmacy Details
Pharmacy Name
CONNECTICUT CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01089
20 BURNSIDE AVENUE
EAST HARTFORD, CT 06108
Pharmacy Comments
Contract Details
Approval Date
10/26/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anthony Howard Crisci, President & CEO
(203) 852-9525 Ext: 326
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/2/2023
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