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CVS ALBANY, L.L.C.
STD060331 WORLD HEALTH CLINICIANS
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Covered Entity Details
Entity Name
WORLD HEALTH CLINICIANS
Subdivision Name
CIRCLE CARE CENTER
Type
Sexually Transmitted Diseases
340B ID
STD060331
Entity Address
300 Hebron Avenue
113
Glastonbury, CT 06033
Grant Number
6NH25PS005155
Participating Start Date
1/1/2024
Last Recertification Date
5/13/2024
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01134
715 BEDFORD ROAD
BEDFORD HILLS, NY 10507
Pharmacy Comments
Contract Details
Approval Date
1/9/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/9/2025
Agreement registered in error
Contacts
Covered Entity Signing Official
Anthony Howard Crisci, President & CEO
(203) 852-9525 Ext: 326
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/9/2025
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