Contract Pharmacy Details

D.A.W., LLC.
CHC11299-00 CODMAN SQUARE HEALTH CENTER, INC

Covered Entity Details

Entity Name

CODMAN SQUARE HEALTH CENTER, INC

Subdivision Name

Codman Square Health Center

Type

HRSA-Funded Health Center

340B ID

CHC11299-00

Entity Address

637 Washington St.
Dorchester, MA 02124-3510

Grant Number

H80CS11299

Participating Start Date

7/1/2012

Last Recertification Date

2/26/2025

Pharmacy Details

Pharmacy Name

D.A.W., LLC.

Pharmacy Address

EATON APOTHECARY #2160
637 WASHINGTON ST
FLOOR G
DORCHESTER, MA 02124

Pharmacy Comments

Contract Details

Approval Date

7/2/2012

Contract Begin Date

7/2/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/28/2019
Pharmacy closed

Contacts

Covered Entity Signing Official

Sandra Cotterell, CEO
(617) 822-8123

Contract Pharmacy Representative

Eaton Apothecary
John H Lynch, General Manager
(800) 223-2988 Ext: 7115

Signed By Date

6/22/2012

340B Drug Pricing Program Database