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NEW HAVEN PHARMACY INC
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
NEW HAVEN PHARMACY INC
Pharmacy Address
374 GRAND AVE
NEW HAVEN, CT 06513
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
Windsor Chemist Inc. dba Pittman's Pharmacy
Rajendra Appalaneni, Owner
(252) 794-2896
Signed By Date
4/12/2024
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