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BUFFALO PHARMACIES
CH024690 COMMUNITY HEALTH CENTER OF BUFFALO, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF BUFFALO, INC.
Subdivision Name
34 Benwood Ave Buffalo, NY 14214
Type
HRSA-Funded Health Center
340B ID
CH024690
Entity Address
34 Benwood
Buffalo, NY 14214-1761
Grant Number
H80CS00157
Participating Start Date
4/1/2003
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
BUFFALO PHARMACIES
Pharmacy Address
D/B/A CLEVE-HILL DRUG
1479 KENSINGTON AVE
BUFFALO, NY 14215-1436
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
LaVonne Ansari, CEO
(716) 986-9199 Ext: 1002
Contract Pharmacy Representative
Buffalo Pharmacies, Inc.
Alec Gillies, General Manager
(716) 832-7742
Signed By Date
4/15/2020
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