340B Drug Pricing Program Database
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CH02056AS Mosaic Health, Inc. (Active)
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Main Details
Name
Mosaic Health, Inc.
Subdivision Name
Mosaic Health Mobile Dental and Medical
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038599
340B ID
CH02056AS
Grant Number
H80CS00167
Additional Details
Current Program Status
Active
Registration Date
10/8/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/9/2024
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Mosaic Health, Inc.
Michael Joseph Leary, President/CEO
(585) 325-2280 Ext: 7302
Primary Contact
Mosaic Health, Inc.
Vanessa I. Simmons, Quality Specialist
(585) 325-2280 Ext: 7308
Addresses
Street Address
2 Rubin Dr
Rushville, NY 14544-9681
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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