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GOOD HEALTH 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
GOOD HEALTH INC
Pharmacy Address
DBA PREMIER PHARMACY SERVICES
1943 SCHUETZ RD
SAINT LOUIS, MO 63146-3550
Pharmacy Comments
Contract Details
Approval Date
1/16/2017
Contract Begin Date
4/1/2017
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
Premier Pharmacy Services
Stephen Samuel, CEO
(714) 961-7930
Signed By Date
1/16/2017
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