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THE STOP & SHOP SUPERMARKET
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
THE STOP & SHOP SUPERMARKET
Pharmacy Address
STOP & SHOP PHARMACY #2618
943 WOLCOTT ST
WATERBURY, CT 06705
Pharmacy Comments
Contract Details
Approval Date
4/9/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald Thompson, CEO
(203) 756-8021 Ext: 3016
Contract Pharmacy Representative
Stop and Shop
David Dunn, Pharmacy Operations Manager
(774) 644-1263
Signed By Date
4/9/2025
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