340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HARTFORD HOSPITAL
RRC070021-00 Windham Community Memorial Hospital
Print
Covered Entity Details
Entity Name
Windham Community Memorial Hospital
Subdivision Name
Type
Rural Referral Center
340B ID
RRC070021-00
Entity Address
112 Mansfield Avenue
Willimantic, CT 06226
Medicare Provider Number
070021
Participating Start Date
10/1/2011
Last Recertification Date
11/17/2017
Entity Termination Date
7/1/2018
Pharmacy Details
Pharmacy Name
HARTFORD HOSPITAL
Pharmacy Address
DBA HARTFORD HEALTHCARE RETAIL PHARMACY
85 SEYMOUR ST STE 105
HARTFORD, CT 06106
Pharmacy Comments
Contract Details
Approval Date
11/19/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Daniel E. Lohr, Regional Vice President, Finance
(860) 889-8331 Ext: 2311
Contract Pharmacy Representative
John Lucey, Pharmacy Manager
(508) 259-2770
Signed By Date
11/19/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session