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WALGREEN EASTERN CO., INC.
CH01006M Fair Haven Community Health Clinic Inc
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Covered Entity Details
Entity Name
Fair Haven Community Health Clinic Inc
Subdivision Name
BHcare
Type
HRSA-Funded Health Center
340B ID
CH01006M
Entity Address
28 Branford road
North Branford, CT 06471
Grant Number
H80CS00741
Participating Start Date
1/1/2018
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #06474
88 YORK ST
NEW HAVEN, CT 06511-5619
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
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/10/2024
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