340B Drug Pricing Program Database
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FQHCLA344F Tri-County Family Medicine Program, Inc. (Active)
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Main Details
Name
Tri-County Family Medicine Program, Inc.
Subdivision Name
TCFM Canaseraga
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-033542
340B ID
FQHCLA344F
Grant Number
LALCS00181
Additional Details
Current Program Status
Active
Registration Date
4/14/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/28/2022
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Tri-County Family Medicine Program, Inc.
Karen Stone, Chief Executive Officer
(585) 432-2301
Primary Contact
Tri-County Family Medicine Program, Inc.
Laurie Wright, 340B and Administrative Manager
(585) 204-0964
Addresses
Street Address
12 N Church St
Canaseraga, NY 14822-9721
Billing Address
Tri-County Family Medicine Program, Inc.
10869 State Rte 36, PO Box 601
Dansville, NY 14437
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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