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ECKERD CORPORATION
CH020010 Neighborhood Health Center of WNY, Inc.
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Covered Entity Details
Entity Name
Neighborhood Health Center of WNY, Inc.
Subdivision Name
Neighborhood Health Center Northwest
Type
HRSA-Funded Health Center
340B ID
CH020010
Entity Address
155 Lawn Ave
Buffalo, NY 14207-1816
Grant Number
H80CS00171
Participating Start Date
10/1/1997
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
ECKERD CORPORATION
Pharmacy Address
RITE AID #10824
789 TONAWANDA STREET
BUFFALO, NY 14207
Pharmacy Comments
Contract Details
Approval Date
10/11/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joanne Haefner, Chief Executive Officer
(716) 875-2904
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
10/11/2019
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