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HV020560 Trillium Health, Inc. (Active)
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Main Details
Name
Trillium Health, Inc.
Subdivision Name
Type
Ryan White Part C
340B ID
HV020560
Grant Number
H76HA02462
Additional Details
Current Program Status
Active
Registration Date
4/1/2005
Participating Start Date
4/1/2005
Participating Approval Date
3/10/2005
Last Recertification Date
2/11/2025
Time Period the Assistance was Received
1/1/2025 - 12/31/2027
Contacts
Authorizing Official
Trillium Health, Inc.
Gregory Clyde Ewing, S.V.P. Compliance, Privacy, Technology & Regulatory Affairs/CCO
(585) 545-7218
Primary Contact
Trillium Health, Inc.
Christopher Lee Woodring, VP, Chief Pharmacy Officer
(585) 210-4193
Addresses
Street Address
259 MONROE AVE
1st Floor
ROCHESTER, NY 14607
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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4/9/12-UPDATED SHIP TO; 7/8/10 ENTITY NAME CHANGE (WAS COMMUNITY HEALTH NETWORK, INC.) - 12/24/09 UPDATED ADDR (WAS 87 NORTH CLINTON AVE, 4TH FLOOR (ZIP 14604)); 12/24/09 REMOVED SHIP TO(WAS PLEASANT STREET APOTHECARY, 87 NORTH CLINTON AVE.); 3/13/08 ADDED SHIP TO PLEASANT ST. PHARMACY WHICH HAS ALWAYS BEEN AN IN HOUSE PHARMACY; 10/16/07 DELETED MEDICAID #(WAS 01230991)
04/09/2012
7/8/10 ENTITY NAME CHANGE (WAS COMMUNITY HEALTH NETWORK, INC.) - 12/24/09 UPDATED ADDR (WAS 87 NORTH CLINTON AVE, 4TH FLOOR (ZIP 14604)); 12/24/09 REMOVED SHIP TO(WAS PLEASANT STREET APOTHECARY, 87 NORTH CLINTON AVE.); 3/13/08 ADDED SHIP TO PLEASANT ST. PHARMACY WHICH HAS ALWAYS BEEN AN IN HOUSE PHARMACY; 10/16/07 DELETED MEDICAID #(WAS 01230991)
07/08/2010
April 2025
April 2025
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