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WALGREEN EASTERN CO., INC.
CHC16640-11 CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.
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Covered Entity Details
Entity Name
CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.
Subdivision Name
GDCHC West Street Satelite
Type
HRSA-Funded Health Center
340B ID
CHC16640-11
Entity Address
152 West Street, Suite SE - 1
Danbury, CT 06810
Grant Number
H80CS16640
Participating Start Date
1/1/2018
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #06968
101 FEDERAL ROAD
DANBURY, CT 06811
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Katherine Curran, President & CEO
(203) 743-0100 Ext: 3421
Contract Pharmacy Representative
Walgreens
gina destefano, 340b client relationship
(847) 964-4917
Signed By Date
4/11/2024
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