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PHARMERICA
CH01006T FAIR HAVEN COMMUNITY HEALTH CLINIC, INC.
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Covered Entity Details
Entity Name
FAIR HAVEN COMMUNITY HEALTH CLINIC, INC.
Subdivision Name
Leeway House
Type
HRSA-Funded Health Center
340B ID
CH01006T
Entity Address
40 Albert Street RM MC 1
New Haven, CT 06511
Grant Number
H80CS00741
Participating Start Date
10/1/2023
Last Recertification Date
2/15/2025
Pharmacy Details
Pharmacy Name
PHARMERICA
Pharmacy Address
PHARMACY CORPORATION OF AMERICA
8 FAIRFIELD BLVD.
STE 103
WALLINGFORD, CT 06492-1423
Pharmacy Comments
Contract Details
Approval Date
4/10/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SUZANNE LAGARDE, CEO
(203) 752-5129
Contract Pharmacy Representative
PharMerica
Bryan O'Neill, Purchasing Manager
(502) 627-7168
Signed By Date
4/10/2024
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