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PRICE CHOPPER OPERATING CO
CH02179A HUDSON HEADWATERS HEALTH NETWORK
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Covered Entity Details
Entity Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
CHESTER-HORICON HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH02179A
Entity Address
6223 STATE ROUTE 9
CHESTERTOWN, NY 12817
Grant Number
H80CS00159
Participating Start Date
4/1/2001
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PRICE CHOPPER OPERATING CO
Pharmacy Address
HOUSE CALLS PHARMACY 200
100 BROAD ST PLAZA
GLENS FALLS, NY 12801
Pharmacy Comments
Contract Details
Approval Date
1/1/2002
Contract Begin Date
1/1/2002
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
George Purdue, Chief Administrative Officer
(518) 761-0300 Ext: 31114
Contract Pharmacy Representative
Golub Corporation
Scott Guisinger, Vice President of Pharmacy
(518) 379-2409
Signed By Date
8/20/2012
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