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TORRINGTON PHARMACY INC
CHC11318-02 Community Health And Wellness Center Of Greater Torrington, Incorporated
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Covered Entity Details
Entity Name
Community Health And Wellness Center Of Greater Torrington, Incorporated
Subdivision Name
Winsted Health Care
Type
HRSA-Funded Health Center
340B ID
CHC11318-02
Entity Address
115 Spenser St.
Winsted, CT 06098-1140
Grant Number
H80CS12843
Participating Start Date
4/1/2018
Last Recertification Date
1/30/2019
Entity Termination Date
10/1/2019
Pharmacy Details
Pharmacy Name
TORRINGTON PHARMACY INC
Pharmacy Address
PETRICONE'S PHARMACY
110 E MAIN ST
TORRINGTON, CT 06790-5492
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Joanne Borduas, CEO
(860) 387-0425
Contract Pharmacy Representative
Petricon'e Pharmacy
Joseph Petricone Jr., owner
(860) 489-5511
Signed By Date
1/12/2018
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