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WAL-MART PHARMACY 10-2585
CH01081Q Southwest Community Health Center, Inc.
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Covered Entity Details
Entity Name
Southwest Community Health Center, Inc.
Subdivision Name
Bassick High School, School Based Health Clinic
Type
HRSA-Funded Health Center
340B ID
CH01081Q
Entity Address
1181 Fairfield Ave
Bridgeport, CT 06605-1183
Grant Number
H80CS00613
Participating Start Date
4/11/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2585
Pharmacy Address
150 BARNUM AVENUE CUTOFF
STRATFORD, CT 06614
Pharmacy Comments
Contract Details
Approval Date
4/3/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mollie Melbourne, President/CEO
(203) 332-3501
Contract Pharmacy Representative
Wallmart
Julie Howard, Manager
(479) 277-1498
Signed By Date
4/3/2024
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