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RIVER STREET 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
RIVER STREET PHARMACY INC.
Pharmacy Address
100 RIVER ST
SPRINGFIELD, VT 05156-2930
Pharmacy Comments
Contract Details
Approval Date
10/24/2012
Contract Begin Date
10/24/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott Whittemore, Chief Financial Officer
(802) 885-7344
Contract Pharmacy Representative
Ludlow Pharmacy Inc.
Jeff Hochberg, Vice President
(802) 775-2545
Signed By Date
9/13/2012
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