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MARTIN'S FOODS OF SOUTH BURLINGTON, LLC
CH01015A COMMUNITY HEALTH CENTERS OF BURLINGTON, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF BURLINGTON, INC.
Subdivision Name
Pearl Street Youth Health Center
Type
HRSA-Funded Health Center
340B ID
CH01015A
Entity Address
179 PEARL ST
BURLINGTON, VT 05401-3704
Grant Number
H80CS00311
Participating Start Date
9/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MARTIN'S FOODS OF SOUTH BURLINGTON, LLC
Pharmacy Address
DBA HANNAFORD SUPERMARKET & PHARMACY #83
78 MARSHALL AVE
WILLISTON, VT 05495
Pharmacy Comments
Contract Details
Approval Date
4/8/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeffrey McKee, CEO
(802) 264-8190
Contract Pharmacy Representative
Hannaford
Mike Fish, Pharmacy District Manager
(518) 428-2712
Signed By Date
4/8/2025
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