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GREATER FALLS PHARMACY
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
GREATER FALLS PHARMACY
Pharmacy Address
78 ATKINSON ST
BELLOWS FALLS, VT 05101
Pharmacy Comments
Contract Details
Approval Date
4/22/2010
Contract Begin Date
5/1/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/6/2010
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