Contract Pharmacy Details

DANICO INC
CHC29001-01 WHEELER CLINIC, INC. THE

Covered Entity Details

Entity Name

WHEELER CLINIC, INC. THE

Subdivision Name

Hartford Family Health & Wellness Center

Type

HRSA-Funded Health Center

340B ID

CHC29001-01

Entity Address

43 Woodland St
Hartford, CT 06105-2363

Grant Number

H80CS29001

Participating Start Date

1/1/2018

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

DANICO INC

Pharmacy Address

DBA BEACON PRESCRIPTIONS
25 COLLINS RD
BRISTOL, CT 06010

Pharmacy Comments

Contract Details

Approval Date

1/15/2018

Contract Begin Date

4/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/31/2020
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Athena Marie Dellas, Chief Financial Officer
(860) 793-4235

Contract Pharmacy Representative

Beacon Pharmacy
Cory Mascalo, Pharmacy Representative
(860) 589-5587

Signed By Date

1/15/2018

340B Drug Pricing Program Database