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YALE NEW HAVEN HEALTH PHARMACY
CH01241J STAYWELL HEALTH CARE, INC.
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Covered Entity Details
Entity Name
STAYWELL HEALTH CARE, INC.
Subdivision Name
StayWell Health Center at St. V's
Type
HRSA-Funded Health Center
340B ID
CH01241J
Entity Address
114 Benedict St
Waterbury, CT 06706-1007
Grant Number
H80CS00350
Participating Start Date
1/1/2017
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
YALE NEW HAVEN HEALTH PHARMACY
Pharmacy Address
NORTH HAVEN MEDICAL CENTER
6 DEVINE ST
NORTH HAVEN, CT 06473
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
Donald Thompson, CEO
(203) 756-8021 Ext: 3016
Contract Pharmacy Representative
Yale New Haven Health Services
Leeann Miller, Chief Pharmacy Officer
(203) 479-3000
Signed By Date
10/15/2024
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