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CONNECTICUT CVS PHARMACY, L.L.C.
CH01337G FIRST CHOICE HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
FIRST CHOICE HEALTH CENTERS, INC.
Subdivision Name
FCHC Mobile Health Services
Type
HRSA-Funded Health Center
340B ID
CH01337G
Entity Address
94 Connecticut Blvd
East Hartford, CT 06108-3013
Grant Number
H80CS00262
Participating Start Date
7/1/2015
Last Recertification Date
2/25/2025
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
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sabrina Griswold, Director of Pharmacy
(860) 610-6366
Contract Pharmacy Representative
CVS
Sharon Kellyu, Representative
(877) 805-9483
Signed By Date
1/16/2024
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