340B Drug Pricing Program Database
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KPH HEALTHCARE SERVICES, INC.
STD132041 AIDS Community Resources d.b.a. ACR Health
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Covered Entity Details
Entity Name
AIDS Community Resources d.b.a. ACR Health
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD132041
Entity Address
627 W Genesee Street
Syracuse, NY 13204
Grant Number
NH25PS004347
Participating Start Date
4/1/2018
Last Recertification Date
5/27/2025
Pharmacy Details
Pharmacy Name
KPH HEALTHCARE SERVICES, INC.
Pharmacy Address
KINNEY DRUGS #85
104 LAFAYETTE ROAD
SYRACUSE, NY 13205
Pharmacy Comments
Contract Details
Approval Date
4/19/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Marissa Rice, Executive Director
(315) 475-2430
Contract Pharmacy Representative
KPH Healthcare Services, Inc.
Debbi Barber, 340B Program Director
(315) 287-3600 Ext: 2423
Signed By Date
4/19/2021
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