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CVS MANCHESTER NH, L.L.C.
CHC12867-00 HARBOR HOMES, INC.
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Covered Entity Details
Entity Name
HARBOR HOMES, INC.
Subdivision Name
Harbor Care Health and Wellness Center
Type
HRSA-Funded Health Center
340B ID
CHC12867-00
Entity Address
45 High Street
Nashua, NH 03060-3312
Grant Number
H80CS12867
Participating Start Date
7/1/2010
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS MANCHESTER NH, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00639
242 MAIN STREET
NASHUA, NH 03060
Pharmacy Comments
Contract Details
Approval Date
7/15/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CAROL FURLONG, VP OPERATIONS
(603) 882-3616 Ext: 1141
Contract Pharmacy Representative
CVS Health
Jaclyn Parfitt, 340B Operations Manager
(401) 770-6467
Signed By Date
7/15/2016
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