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D.A.W., LLC
CH01143AQ Lynn Community Health, Inc.
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Covered Entity Details
Entity Name
Lynn Community Health, Inc.
Subdivision Name
Medical Outreach Clinic
Type
HRSA-Funded Health Center
340B ID
CH01143AQ
Entity Address
73 Buffum Street
Lynn, MA 01902-3965
Grant Number
H80CS00624
Participating Start Date
7/1/2018
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
D.A.W., LLC
Pharmacy Address
D/B/A CVS/PHARMACY # 11265
270 UNION STREET
LYNN, MA 01901
Pharmacy Comments
Contract Details
Approval Date
4/6/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
7/1/2018
Contract Comments
Contract Termination Date
Termination Reason
1/15/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Kiame Mahaniah, Chief Executive Officer
(781) 596-2502 Ext: 2707
Contract Pharmacy Representative
Eaton Apothecary
John H. Lynch, General Manager
(401) 665-9677
Signed By Date
4/6/2018
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