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WALGREEN EASTERN CO., INC.
CH01208T COMMUNITY HEALTH CENTER, INCORPORATED
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER, INCORPORATED
Subdivision Name
Community Health Center of Waterbury
Type
HRSA-Funded Health Center
340B ID
CH01208T
Entity Address
51 N Elm St
Waterbury, CT 06702-1511
Grant Number
H80CS00326
Participating Start Date
10/1/2012
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 01977
188 UNION ST
VERNON, CT 06066-2429
Pharmacy Comments
Contract Details
Approval Date
10/26/2012
Contract Begin Date
10/26/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Masselli, President and CEO
(860) 347-6971
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/26/2012
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