Contract Pharmacy Details

ATHOL PHARMACY INC.
CH013900 COMMUNITY HEALTH CONNECTIONS, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CONNECTIONS, INC.

Subdivision Name

COMMUNITY HEALTH CONNECTIONS, INC

Type

HRSA-Funded Health Center

340B ID

CH013900

Entity Address

326 Nichols Rd
Fitchburg, MA 01420-1931

Grant Number

H80CS00257

Participating Start Date

7/1/2003

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

ATHOL PHARMACY INC.

Pharmacy Address

ATHOL PHARMACY
290 MAIN ST
ATHOL, MA 01331

Pharmacy Comments

Contract Details

Approval Date

10/16/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

John A. DeMalia, President and CEO
(978) 878-8510

Contract Pharmacy Representative

Athol Pharmacy
Steven MacNeill, CEO
(978) 201-5247

Signed By Date

10/16/2023

340B Drug Pricing Program Database