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WALGREEN EASTERN CO., INC.
CHC16640-00 CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.
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Covered Entity Details
Entity Name
CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.
Subdivision Name
GREATER DANBURY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC16640-00
Entity Address
7 OLD SHERMAN TURNPIKE, SUITE 212
DANBURY, CT 06810
Grant Number
H80CS16640
Participating Start Date
1/1/2010
Last Recertification Date
2/17/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #06968
101 FEDERAL ROAD
DANBURY, CT 06811
Pharmacy Comments
Contract Details
Approval Date
10/1/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Diana Trumbley, GDCHC Practice Administrator & Deputy Finance Director
(203) 743-0100 Ext: 305
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/1/2014
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