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D.A.W., LLC.
CH01072N EAST BOSTON NEIGHBORHOOD HEALTH CENTER CORPORATION
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Covered Entity Details
Entity Name
EAST BOSTON NEIGHBORHOOD HEALTH CENTER CORPORATION
Subdivision Name
EAST BOSTON HIGH SCHOOL HLTH CTR
Type
HRSA-Funded Health Center
340B ID
CH01072N
Entity Address
86 White St
Boston, MA 02128-1302
Grant Number
H80CS00058
Participating Start Date
7/1/2016
Last Recertification Date
2/27/2018
Entity Termination Date
10/1/2018
Pharmacy Details
Pharmacy Name
D.A.W., LLC.
Pharmacy Address
EATON APOTHECARY
20 MAVERICK SQ.
EAST BOSTON, MA 02128
Pharmacy Comments
Contract Details
Approval Date
7/13/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
4/1/2018
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Manuel Lopes, CEO
(617) 568-4570
Contract Pharmacy Representative
Eaton Apothecary
John H Lynch, General Manager
(800) 223-2988 Ext: 7115
Signed By Date
7/13/2017
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