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RITE AID OF NEW YORK, 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
RITE AID OF NEW YORK, INC.
Pharmacy Address
RITE AID #4967
5651 WHISKEY HILL ROAD
WOLCOTT, NY 14590
Pharmacy Comments
Contract Details
Approval Date
4/18/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/13/2018
Ownership change
Contacts
Covered Entity Signing Official
Mary A Zelazny, CEO
(315) 531-9102
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/18/2016
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