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AETNA SPECIALTY PHARMACY, LLC
CH021830 SCHENECTADY FAMILY HEALTH SERVICES, INC. DBA HOMETOWN HEALTH CENTERS
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Covered Entity Details
Entity Name
SCHENECTADY FAMILY HEALTH SERVICES, INC. DBA HOMETOWN HEALTH CENTERS
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH021830
Entity Address
1044 STATE STREET
SCHENECTADY, NY 12307
Grant Number
H80CS00475
Participating Start Date
1/1/2003
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
AETNA SPECIALTY PHARMACY, LLC
Pharmacy Address
503 SUNPORT LN
ORLANDO, FL 32809-7874
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
Joe Gambino, Chief Executive Officer
(518) 370-1441 Ext: 4126
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2019
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