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D.A.W., LLC.
CH01143V LYNN COMMUNITY HEALTH, INC.
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Covered Entity Details
Entity Name
LYNN COMMUNITY HEALTH, INC.
Subdivision Name
THURGOOD MARSHALL MIDDLE SCHOOL SBHC
Type
HRSA-Funded Health Center
340B ID
CH01143V
Entity Address
74-114 Brookline Street
Lynn, MA 01902-1726
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
EATON APOTHECARY #3035
2 CENTENNIAL DR
STE 1A
PEABODY, MA 01960
Pharmacy Comments
Contract Details
Approval Date
9/5/2012
Contract Begin Date
10/1/2012
Carve-In Effective Date
10/1/2013
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
8/23/2012
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