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D.A.W., LLC
CH01143AF Lynn Community Health Center, Inc
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Covered Entity Details
Entity Name
Lynn Community Health Center, Inc
Subdivision Name
Program for All-Inclusive Care for the Elderly (PACE) Site
Type
HRSA-Funded Health Center
340B ID
CH01143AF
Entity Address
100 Cummings Center
Beverly, MA 01915
Grant Number
H80CS00624
Participating Start Date
4/1/2013
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
Contract Termination Date
Termination Reason
1/15/2023
Pharmacy closed
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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