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COORDINATED CARE NETWORK
CH02848D DAMIAN FAMILY CARE CENTERS, INC.
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Covered Entity Details
Entity Name
DAMIAN FAMILY CARE CENTERS, INC.
Subdivision Name
Ellenville Health Center
Type
HRSA-Funded Health Center
340B ID
CH02848D
Entity Address
751 BRIGGS HWY
ELLENVILLE, NY 12428-5501
Grant Number
H80CS01765
Participating Start Date
4/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
COORDINATED CARE NETWORK
Pharmacy Address
COORDINATED CARE NETWORK
300 PENN CENTER BLVD STE 405
PITTSBURGH, PA 15235-5511
Pharmacy Comments
5/9/11 UPDATED ADDR (WAS SUITE 505)
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peter Grisafi, CEO
(718) 657-1100 Ext: 1225
Contract Pharmacy Representative
Coordinated Care Network
Daveid Giannangeli, VP, Business Development and Corporate Relations
(412) 349-6335
Signed By Date
1/15/2019
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