Contract Pharmacy Details

D.A.W., LLC
CHC29010-02 UPHAMS CORNER HEALTH COMMITTEE, INC.

Covered Entity Details

Entity Name

UPHAMS CORNER HEALTH COMMITTEE, INC.

Subdivision Name

Upham's Corner Health Center - Business & Human Resources Office

Type

HRSA-Funded Health Center

340B ID

CHC29010-02

Entity Address

500 Columbia Rd
Dorchester, MA 02125-2322

Grant Number

H80CS29010

Participating Start Date

1/1/2016

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

D.A.W., LLC

Pharmacy Address

EATON APOTHECARY #3060
427 TURNPIKE ST STE 5
CANTON, MA 02021-2709

Pharmacy Comments

Contract Details

Approval Date

12/28/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/31/2020
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Edward Grimes, CEO
(617) 287-8000 Ext: 8131

Contract Pharmacy Representative

RAMESH UPADHYAYULA, DIRECTOR OF PHARMACY
(301) 945-4534

Signed By Date

12/28/2015

340B Drug Pricing Program Database