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LUDLOW PHARMACY INC.
CHC11353-06 SPRINGFIELD MEDICAL CARE SYSTEMS INC
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Covered Entity Details
Entity Name
SPRINGFIELD MEDICAL CARE SYSTEMS INC
Subdivision Name
Chester Dental Center
Type
HRSA-Funded Health Center
340B ID
CHC11353-06
Entity Address
55 Main St. Route 11
Chester, VT 05143
Grant Number
H80CS12873
Participating Start Date
1/1/2010
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LUDLOW PHARMACY INC.
Pharmacy Address
57 POND ST
LUDLOW, VT 05149
Pharmacy Comments
Contract Details
Approval Date
3/1/2011
Contract Begin Date
3/15/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/1/2011
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