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CVS PHARMACY, INC.
CH01080L Family Health Center of Worcester, Inc.
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Covered Entity Details
Entity Name
Family Health Center of Worcester, Inc.
Subdivision Name
Worcester East Middle School - School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CH01080L
Entity Address
420 Grafton Street
Worcester, MA 01604-3802
Grant Number
H80CS00452
Participating Start Date
4/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
CVS PHARMACY # 16687
529 LINCOLN ST
WORCESTER, MA 01605
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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