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D.A.W., LLC.
CH01146L LOWELL COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
LOWELL COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Kathyrn P. Stoklosa Middle School
Type
HRSA-Funded Health Center
340B ID
CH01146L
Entity Address
560 Broadway St
Lowell, MA 01854-3305
Grant Number
H80CS00397
Participating Start Date
4/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
D.A.W., LLC.
Pharmacy Address
CVS/PHARMACY # 11266
161 JACKSON ST
LOWELL, MA 01852
Pharmacy Comments
Contract Details
Approval Date
10/2/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/28/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Robert Ebersole, CFO
(978) 322-8596
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/2/2017
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