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BELLA VISTA PHARMACY
CH010070 CORNELL SCOTT-HILL HEALTH CORPORATION
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Covered Entity Details
Entity Name
CORNELL SCOTT-HILL HEALTH CORPORATION
Subdivision Name
CORNELL SCOTT-HILL HEALTH CORPORATION
Type
HRSA-Funded Health Center
340B ID
CH010070
Entity Address
400-428 COLUMBUS AVENUE
NEW HAVEN, CT 06519-1233
Grant Number
H80CS00312
Participating Start Date
12/1/1992
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
BELLA VISTA PHARMACY
Pharmacy Address
321 EASTERN ST BLDG A
NEW HAVEN, CT 06513
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vanessa E Andrews, Chief Corporate
(203) 503-3241
Contract Pharmacy Representative
AEV Inc DBA Beacon Prescriptions
Roger Beaudoin, Pharmacy Manager
(203) 467-2600
Signed By Date
10/14/2024
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