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EAST MAIN STREET CHEMISTS INC.
RRC330126-00 Garnet Health Medical Center
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Covered Entity Details
Entity Name
Garnet Health Medical Center
Subdivision Name
Type
Rural Referral Center
340B ID
RRC330126-00
Entity Address
707 E MAIN STREET
MIDDLETOWN, NY 10940-2650
Medicare Provider Number
330126
Participating Start Date
1/29/2021
Last Recertification Date
9/11/2024
Pharmacy Details
Pharmacy Name
EAST MAIN STREET CHEMISTS INC.
Pharmacy Address
NEIGHBORX PHARMACY AT ORMC
707 E MAIN ST
MIDDLETOWN, NY 10940
Pharmacy Comments
Contract Details
Approval Date
4/5/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
brian Tew, CEO
(845) 333-2303
Contract Pharmacy Representative
NeighboRx
Rory Garland, Owner
(845) 343-6666
Signed By Date
4/5/2021
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