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GRAND PHARMACY
RWI065110 Leeway Inc.
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Covered Entity Details
Entity Name
Leeway Inc.
Subdivision Name
Leeway Inc.
Type
Ryan White Part A
340B ID
RWI065110
Entity Address
40 Albert Street
New Haven, CT 06511
Grant Number
H89HA00029
Participating Start Date
7/1/2022
Last Recertification Date
3/13/2025
Pharmacy Details
Pharmacy Name
GRAND PHARMACY
Pharmacy Address
221 W MAIN ST
BRANFORD, CT 06405
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jay Katz, CEO
(203) 865-0068
Contract Pharmacy Representative
Fair Haven Community Health Clinic, Inc.
SUZANNE LAGARDE, CEO
(203) 752-5129
Signed By Date
4/12/2024
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