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COMMUNITY HEALTH PHARMACY
CHC10611-04 Lamoille Health Partners, Inc.
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Covered Entity Details
Entity Name
Lamoille Health Partners, Inc.
Subdivision Name
Lamoille Health Family Medicine, Stowe
Type
HRSA-Funded Health Center
340B ID
CHC10611-04
Entity Address
1878 MOUNTAIN ROAD, STE 3
STOWE, VT 05672
Grant Number
H80CS10611
Participating Start Date
4/1/2008
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
COMMUNITY HEALTH PHARMACY
Pharmacy Address
158 BRENTWOOD DR STE 6
COLCHESTER, VT 05446-7994
Pharmacy Comments
Contract Details
Approval Date
10/15/2008
Contract Begin Date
10/15/2008
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
10/15/2008
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