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PRICE CHOPPER OPERATING CO., INC.
CH02179K HUDSON HEADWATERS HEALTH NETWORK
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Covered Entity Details
Entity Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
MOREAU FAMILY HEALTH
Type
HRSA-Funded Health Center
340B ID
CH02179K
Entity Address
1299 ROUTE 9
Gansevoort, NY 12831
Grant Number
H80CS00159
Participating Start Date
4/1/2001
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PRICE CHOPPER OPERATING CO., INC.
Pharmacy Address
HOUSECALLS PHARMACY 201
3761 MAIN STREET
WARRENSBURG, NY 12885
Pharmacy Comments
Contract Details
Approval Date
2/1/2004
Contract Begin Date
2/1/2004
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Golub Corporation
Scott Guisinger, Vice President of Pharmacy
(518) 379-2409
Signed By Date
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