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FORTEEN STAR ENTERPRISES INC
CH020110 WHITNEY M. YOUNG, JR., HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
WHITNEY M. YOUNG, JR., HEALTH CENTER, INC.
Subdivision Name
WHITNEY M. YOUNG, JR. HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH020110
Entity Address
920 Lark Dr
Albany, NY 12207-1300
Grant Number
H80CS00433
Participating Start Date
10/1/1995
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
FORTEEN STAR ENTERPRISES INC
Pharmacy Address
D/B/A CENTRAL AVE PHARMACY
65 CENTRAL AVE
ALBANY, NY 12206-3054
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/22/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David Harold Shippee, President & CEO
(518) 591-4459
Contract Pharmacy Representative
Forteen Star Enterprises Inc D/B/A Central Ave Pharmacy
Sarah Walton, Owner
(518) 621-7748
Signed By Date
10/15/2020
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