Contract Pharmacy Details

MAXOR SPECIALTY PHARMACY
CH02152B OPEN DOOR FAMILY MEDICAL CENTER, INC.

Covered Entity Details

Entity Name

OPEN DOOR FAMILY MEDICAL CENTER, INC.

Subdivision Name

OPEN DOOR FAMILY MEDICAL CENTER

Type

HRSA-Funded Health Center

340B ID

CH02152B

Entity Address

5 Grace Church St
Port Chester, NY 10573-4911

Grant Number

H80CS00160

Participating Start Date

10/1/2003

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

MAXOR SPECIALTY PHARMACY

Pharmacy Address

216 S POLK ST
AMARILLO, TX 79101-1407

Pharmacy Comments

Contract Details

Approval Date

11/9/2012

Contract Begin Date

10/27/2012

Carve-In Effective Date

Contract Comments

11/07/2012 - public health emergency declared in the state of NY effective 10/27/2012

Contract Termination Date
Termination Reason

9/15/2022
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Lindsay Farrell, President and CEO
(914) 502-1450

Contract Pharmacy Representative

Jan Robinson, Vice President of Operations, Maxor Specialty and IV Solutions
(806) 324-5461

Signed By Date

10/5/2012

340B Drug Pricing Program Database