Contract Pharmacy Details

M.N. PHARMACY LLC
CHC16640-10 CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.

Covered Entity Details

Entity Name

CONNECTICUT INSTITUTE FOR COMMUNITIES, INC.

Subdivision Name

Greater Danbury Community Health Center

Type

HRSA-Funded Health Center

340B ID

CHC16640-10

Entity Address

120 Main St
Danbury, CT 06810-7834

Grant Number

H80CS16640

Participating Start Date

4/1/2017

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

M.N. PHARMACY LLC

Pharmacy Address

DBA AMAZON PHARMACY #003
6701 NW 7TH ST., STE. #199
MIAMI, FL 33126

Pharmacy Comments

Contract Details

Approval Date

4/2/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Katherine Curran, President & CEO
(203) 743-0100 Ext: 3421

Contract Pharmacy Representative

PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725

Signed By Date

4/2/2018

340B Drug Pricing Program Database