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CONNECTICUT CVS PHARMACY, L.L.C.
STD069027 Anchor Health Initiative
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Covered Entity Details
Entity Name
Anchor Health Initiative
Subdivision Name
AHI Stamford
Type
Sexually Transmitted Diseases
340B ID
STD069027
Entity Address
30 Myano Lane
Suite 16
Stamford, CT 06902
Grant Number
6 NH25PS005155—05-03
Participating Start Date
7/1/2018
Last Recertification Date
5/20/2024
Pharmacy Details
Pharmacy Name
CONNECTICUT CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 2258
537 CANAL STREET
STAMFORD, CT 06902
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
Patricia Chadwick, CEO
(203) 674-1102
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/16/2024
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