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TRILLIUM HEALTH, INC.
CH020160 SYRACUSE COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SYRACUSE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
SYRACUSE COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH020160
Entity Address
819 S Salina St
Syracuse, NY 13202-3527
Grant Number
H80CS00434
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
TRILLIUM HEALTH, INC.
Pharmacy Address
TRILLIUM HEALTH PHARMACY
259 MONROE AVE
LOWER LEVEL
ROCHESTER, NY 14607-3632
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
10/1/2018
Contract Comments
Contract Termination Date
Termination Reason
2/6/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MARK HALL, INTERIM PRESIDENT CEO
(315) 476-7921 Ext: 2426
Contract Pharmacy Representative
Trillium Health
MARK Joseph MALAHOSKY, VP PHARMACY SERVICES
(585) 210-4152
Signed By Date
7/16/2018
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