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CVS ALBANY, L.L.C.
STD132041 AIDS Community Resources d.b.a. ACR Health
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Covered Entity Details
Entity Name
AIDS Community Resources d.b.a. ACR Health
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD132041
Entity Address
627 W Genesee Street
Syracuse, NY 13204
Grant Number
NH25PS004347
Participating Start Date
4/1/2018
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
CVS PHARMACY # 17390
3657 W GENESEE ST
SYRACUSE, NY 13219
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Wil Murtaugh, Executive Director
(315) 475-2430 Ext: 2400
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2018
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