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THE PHARMACY - NORTHSHIRE, LLC
CHC26641-00 BATTENKILL VALLEY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
BATTENKILL VALLEY HEALTH CENTER, INC.
Subdivision Name
Battenkill Valley Health Center Inc.
Type
HRSA-Funded Health Center
340B ID
CHC26641-00
Entity Address
9 Church St
Arlington, VT 05250-4457
Grant Number
H80CS26641
Participating Start Date
4/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
THE PHARMACY - NORTHSHIRE, LLC
Pharmacy Address
34 WAYS LN
MANCHESTER CENTER, VT 05255-9231
Pharmacy Comments
Contract Details
Approval Date
1/21/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/16/2023
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
The Pharmacy, Inc.
Keith O'Neill, Controller
(802) 442-5602
Signed By Date
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