340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WATERBURY PHARMACY
CH01241E STAYWELL HEALTH CARE, INC.
Print
Covered Entity Details
Entity Name
STAYWELL HEALTH CARE, INC.
Subdivision Name
StayWell Health Center
Type
HRSA-Funded Health Center
340B ID
CH01241E
Entity Address
402 E MAIN ST
WATERBURY, CT 06702-1701
Grant Number
H80CS00350
Participating Start Date
4/1/2015
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WATERBURY PHARMACY
Pharmacy Address
187 E MAIN ST
WATERBURY, CT 06702
Pharmacy Comments
Contract Details
Approval Date
3/12/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Hartford Pharmacy
Pravin Dhulipalla, Owner
(860) 289-0000
Signed By Date
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session