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WEGMANS FOOD MARKETS, INC.
FQHCLA344A Tri-County Family Medicine Program, Inc.
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Covered Entity Details
Entity Name
Tri-County Family Medicine Program, Inc.
Subdivision Name
TCFM Nunda
Type
Health Center Program Look-Alike
340B ID
FQHCLA344A
Entity Address
61 N State St
Nunda, NY 14517-9785
Grant Number
LALCS00181
Participating Start Date
1/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WEGMANS FOOD MARKETS, INC.
Pharmacy Address
1000 HIGHWAY 36 NORTH
ATTN: PHARMACY
HORNELL, NY 14843
Pharmacy Comments
01/25/2013 name update, DEA normalization (was Wegmans Pharmacy #017)
Contract Details
Approval Date
4/12/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nicholas H Apostoleris, CSIO
(585) 432-2300
Contract Pharmacy Representative
Wegmans Food Markets, Inc.
Tony Tartaro, Business Development Manager-Pharmacy
(585) 746-5059
Signed By Date
4/12/2019
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