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WALGREEN EASTERN CO., INC.
CH028210 FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC.
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Covered Entity Details
Entity Name
FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH028210
Entity Address
14 Maiden Lane
PENN YAN, NY 14527
Grant Number
H80CS00849
Participating Start Date
7/1/2003
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #18076
4061 ROUTE 104
WILLIAMSON, NY 14589
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary A Zelazny, CEO
(315) 531-9102
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2019
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