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APOGEE BIO-PHARM LLC
CH01241E STAYWELL HEALTH CARE, INC.
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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
APOGEE BIO-PHARM LLC
Pharmacy Address
788 CONVERY BLVD STE A1
PERTH AMBOY, NJ 08861-2584
Pharmacy Comments
Contract Details
Approval Date
1/11/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald Thompson, CEO
(203) 756-8021 Ext: 3016
Contract Pharmacy Representative
Apogee-BioPharm, LLC
BEN WELWART, CEO
(917) 415-0987
Signed By Date
1/11/2016
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