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WEGMANS FOOD MARKETS, INC.
FQHCLA344D Tri-County Family Medicine Program, Inc.
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Covered Entity Details
Entity Name
Tri-County Family Medicine Program, Inc.
Subdivision Name
TCFM Cohocton
Type
Health Center Program Look-Alike
340B ID
FQHCLA344D
Entity Address
25 Park Ave
Cohocton, NY 14826-9401
Grant Number
LALCS00181
Participating Start Date
1/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WEGMANS FOOD MARKETS, INC.
Pharmacy Address
2873 BROADWAY ST
SUITE 100
CHEEKTOWAGA, NY 14227-1036
Pharmacy Comments
Contract Details
Approval Date
2/11/2021
Contract Begin Date
2/11/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/2/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Nicholas H Apostoleris, CSIO
(585) 432-2300
Contract Pharmacy Representative
Wegmans Food Markets, Inc.
Tony Tartaro, Business Development Manager-Pharmacy
(585) 746-5059
Signed By Date
2/11/2021
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