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CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
CH01080D FAMILY HEALTH CENTER OF WORCESTER, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Subdivision Name
Sullivan Health Center
Type
HRSA-Funded Health Center
340B ID
CH01080D
Entity Address
140 APRICOT ST
WORCESTER, MA 01603-1225
Grant Number
H80CS00452
Participating Start Date
4/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
180 PASSAIC AVE UNIT B-5
FAIRFIELD, NJ 07004
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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