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CVS PHARMACY, INC.
CH01080H FAMILY HEALTH CENTER OF WORCESTER, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Subdivision Name
Doherty Memorial High School Health Center
Type
HRSA-Funded Health Center
340B ID
CH01080H
Entity Address
299 Highland St
Worcester, MA 01602-2110
Grant Number
H80CS00452
Participating Start Date
4/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 00166
115 STAFFORD ST.
WORCESTER, MA 01603
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
Louis Arthur Brady, CEO
(617) 519-3117
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/3/2024
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