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NOBLE HEALTH SERVICES INC.
HV020560 Trillium Health, Inc.
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Covered Entity Details
Entity Name
Trillium Health, Inc.
Subdivision Name
Type
Ryan White Part C
340B ID
HV020560
Entity Address
259 MONROE AVE
1st Floor
ROCHESTER, NY 14607
Grant Number
H76HA02462
Participating Start Date
4/1/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
NOBLE HEALTH SERVICES INC.
Pharmacy Address
6040 TARBELL ROAD
SYRACUSE, NY 13206
Pharmacy Comments
Contract Details
Approval Date
1/13/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MEG RUSSELL, Sr. V.P., CFO, CCO
(585) 545-7200 Ext: 4138
Contract Pharmacy Representative
Debbi Barber, Director of PBM Relations
(315) 287-3600 Ext: 2423
Signed By Date
1/13/2017
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