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D.A.W., LLC.
CHC07928-00 SOUTH BOSTON COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SOUTH BOSTON COMMUNITY HEALTH CENTER, INC.
Subdivision Name
SOUTH BOSTON COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC07928-00
Entity Address
409 W Broadway
Boston, MA 02127-2245
Grant Number
H80CS07928
Participating Start Date
4/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
D.A.W., LLC.
Pharmacy Address
CVS/PHARMACY # 11272
409 W BROADWAY
SOUTH BOSTON, MA 02127
Pharmacy Comments
Contract Details
Approval Date
12/21/2010
Contract Begin Date
1/1/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/13/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
12/17/2010
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