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D.A.W., LLC
CH01143U LYNN COMMUNITY HEALTH, INC.
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Covered Entity Details
Entity Name
LYNN COMMUNITY HEALTH, INC.
Subdivision Name
BREED MIDDLE SCHOOL SBHC
Type
HRSA-Funded Health Center
340B ID
CH01143U
Entity Address
90 Ocallaghan Way
Lynn, MA 01905-1532
Grant Number
H80CS00624
Participating Start Date
10/1/2012
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
D.A.W., LLC
Pharmacy Address
D/B/A CVS/PHARMACY # 11265
270 UNION STREET
LYNN, MA 01901
Pharmacy Comments
Contract Details
Approval Date
12/14/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
1/1/2017
Contract Comments
Contacts
Covered Entity Signing Official
Lori A. Berry, Executive Director
(781) 596-2502 Ext: 2707
Contract Pharmacy Representative
Eaton Apothecary
John H Lynch, General Manager
(800) 223-2988 Ext: 7115
Signed By Date
12/14/2016
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