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VISEL'S DRUG STORE INC
CH010070 CORNELL SCOTT-HILL HEALTH CORPORATION
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Covered Entity Details
Entity Name
CORNELL SCOTT-HILL HEALTH CORPORATION
Subdivision Name
CORNELL SCOTT-HILL HEALTH CORPORATION
Type
HRSA-Funded Health Center
340B ID
CH010070
Entity Address
400-428 COLUMBUS AVENUE
NEW HAVEN, CT 06519-1233
Grant Number
H80CS00312
Participating Start Date
12/1/1992
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
VISEL'S DRUG STORE INC
Pharmacy Address
714 DIXWELL AVE
NEW HAVEN, CT 06511
Pharmacy Comments
Contract Details
Approval Date
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MICHAEL R. TAYLOR, CEO
(203) 503-3274
Contract Pharmacy Representative
Visels Pharmacy
Ed Funaro, Owner
(203) 562-6878
Signed By Date
1/15/2018
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