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MAIN STREET PHARMACY #2
CHC16640-13 Connecticut Institute for Communities, Inc.
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Covered Entity Details
Entity Name
Connecticut Institute for Communities, Inc.
Subdivision Name
GDCHC
Type
HRSA-Funded Health Center
340B ID
CHC16640-13
Entity Address
132 Main St
Danbury, CT 06810-7863
Grant Number
H80CS16640
Participating Start Date
4/1/2023
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MAIN STREET PHARMACY #2
Pharmacy Address
345 MAIN ST
STE 7
DANBURY, CT 06810-5847
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
Main Street Pharmacy
Jack Yeung, Owner
(203) 297-6130
Signed By Date
4/11/2024
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