340B Drug Pricing Program Database
PORT JERVIS PHARMACY LLC - information as of 5/9/2025 10:52:19 PM
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Name
PORT JERVIS PHARMACY LLC
Address
15 JERSEY AVE STE 2
PORT JERVIS, NY 12771
Comments
Contracts
History
Contracts
Contract Detail
340B ID
Entity Name
Sub Name
Entity Type
Address
Address Cont.
City
State
Begin Date
Term Date
Edit Date
Details
CH020620
Cornerstone Family Healthcare
Cornerstone Family Healthcare: The Kaplan Family Pavilion
HRSA-Funded Health Center
147 Lake St
Newburgh
NY
10/01/2024
10/1/2024 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Addresses
Pharmacy Address
Insert
PORT JERVIS PHARMACY LLC 15 JERSEY AVE STE 2 PORT JERVIS, NY 12771
2/14/2022 10:38 AM
Details
Comments
Insert
1/10/2019 4:32 PM
Details
Is Deleted
Insert
False
1/10/2019 4:32 PM
Addresses
Pharmacy Address
Insert
PORT JERVIS PHARMACY LLC 15 JERSEY AVE PORT JERVIS, NY 12771-2436
1/10/2019 4:32 PM
Details
Name
Insert
PORT JERVIS PHARMACY LLC
1/10/2019 4:32 PM
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