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BRAUNAGEL & BRAUNAGEL INC
CH026250 MIDDLETOWN COMMUNITY HEALTH CENTER INC
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Covered Entity Details
Entity Name
MIDDLETOWN COMMUNITY HEALTH CENTER INC
Subdivision Name
MIDDLETOWN COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH026250
Entity Address
21 Orchard St
Middletown, NY 10940-5004
Grant Number
H80CS00782
Participating Start Date
10/1/2001
Last Recertification Date
2/14/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
BRAUNAGEL & BRAUNAGEL INC
Pharmacy Address
D/B/A ALITON'S PHARMACY HOME HEALTHCARE
12 SUSSEX ST
PORT JERVIS, NY 12771-2421
Pharmacy Comments
Contract Details
Approval Date
4/25/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Theresa M. Butler, CEO
(845) 343-7614
Contract Pharmacy Representative
Carl Braunagel, Owner
(845) 856-8314 Ext: 6511
Signed By Date
4/25/2014
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