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SIGNIO SPECIALTY PHARMACY
CH020620 Cornerstone Family Healthcare
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Covered Entity Details
Entity Name
Cornerstone Family Healthcare
Subdivision Name
Cornerstone Family Healthcare: The Kaplan Family Pavilion
Type
HRSA-Funded Health Center
340B ID
CH020620
Entity Address
147 Lake St
Newburgh, NY 12550
Grant Number
H80CS00469
Participating Start Date
1/1/1999
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
SIGNIO SPECIALTY PHARMACY
Pharmacy Address
711 ANDERSON AVE
CLIFFSIDE PARK, NJ 07010
Pharmacy Comments
Contract Details
Approval Date
2/14/2019
Contract Begin Date
2/14/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LINDA S. MULLER, CEO
(845) 220-3130
Contract Pharmacy Representative
Good Health, Inc
Todd Weber, Director, Government Programs & Strategic Initiatives
(203) 212-4717
Signed By Date
2/14/2019
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