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CHC26630-05 JERICHO ROAD MINISTRIES INC. (Active)
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Main Details
Name
JERICHO ROAD MINISTRIES INC.
Subdivision Name
Jericho Road Community Health Center Breckenridge
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032831
340B ID
CHC26630-05
Grant Number
H80CS26630
Additional Details
Current Program Status
Active
Registration Date
8/9/2021
Participating Start Date
10/1/2021
Participating Approval Date
8/23/2021
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Jericho Road Community Health Center
Karen Dann, Chief of Pharmacy Services
(716) 573-5382
Primary Contact
Jericho Road Community Health Center
Sherrell Shah, Supervising Pharmacist
(716) 529-3029
Addresses
Street Address
182 Breckenridge St
Buffalo, NY 14213-1562
Billing Address
Jericho Road Community Health Center
184 Barton St
BUFFALO, NY 14213
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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