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CVS PHARMACY, INC.
CH01072W NeighborHealth Corporation
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Covered Entity Details
Entity Name
NeighborHealth Corporation
Subdivision Name
801 Broadway
Type
HRSA-Funded Health Center
340B ID
CH01072W
Entity Address
801 Broadway
Everett, MA 02149-3035
Grant Number
H80CS00058
Participating Start Date
1/1/2023
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 00009
339 SQUIRE RD
REVERE, MA 02151
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gregory Wilmot, President & CEO
(617) 568-4570
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2024
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