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AMMONOOSUC COMMUNITY HEALTH SERVICES
CH010980 AMMONOOSUC COMMUNITY HEALTH SERVICES INC
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Covered Entity Details
Entity Name
AMMONOOSUC COMMUNITY HEALTH SERVICES INC
Subdivision Name
ACHS - Littleton
Type
HRSA-Funded Health Center
340B ID
CH010980
Entity Address
25 Mount Eustis Rd
Littleton, NH 03561-3712
Grant Number
H80CS00554
Participating Start Date
4/1/1996
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
AMMONOOSUC COMMUNITY HEALTH SERVICES
Pharmacy Address
AMMONOOSUC COMMUNITY HEALTH SERVICES
25 MOUNT EUSTIS ROAD
LITTLETON, NH 03561
Pharmacy Comments
Contract Details
Approval Date
2/6/2012
Contract Begin Date
2/6/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
EDWARD D. SHANSHALA II, CEO
(603) 444-8223
Contract Pharmacy Representative
Ammonoosuc Community Health Services, Inc.,
EDWARD D. SHANSHALA II, CEO
(603) 444-8223
Signed By Date
12/21/2011
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