Contract Pharmacy Details

D.A.W., LLC.
CH010700 BROCKTON NEIGHBORHOOD HEALTH CENTER, INC.

Covered Entity Details

Entity Name

BROCKTON NEIGHBORHOOD HEALTH CENTER, INC.

Subdivision Name

BROCKTON NEIGHBORHOOD HEALTH CENTER, INC.

Type

HRSA-Funded Health Center

340B ID

CH010700

Entity Address

63 Main St
Brockton, MA 02301

Grant Number

H80CS00560

Participating Start Date

4/1/1999

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

D.A.W., LLC.

Pharmacy Address

CVS/PHARMACY # 11268
63 MAIN ST
BROCKTON, MA 02301-4042

Pharmacy Comments

Contract Details

Approval Date

10/20/2011

Contract Begin Date

1/29/2007

Carve-In Effective Date

Contract Comments

12/14/07 UPDATED PHARMACY NAME & ADDR (WAS EATON APOTHECARY #2120, 160 MAIN STREET)

Contract Termination Date
Termination Reason

3/15/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

1/29/2007

340B Drug Pricing Program Database