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TOPS MARKETS, LLC
CH024690 COMMUNITY HEALTH CENTER OF BUFFALO, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF BUFFALO, INC.
Subdivision Name
34 Benwood Ave Buffalo, NY 14214
Type
HRSA-Funded Health Center
340B ID
CH024690
Entity Address
34 Benwood
Buffalo, NY 14214-1761
Grant Number
H80CS00157
Participating Start Date
4/1/2003
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
TOPS MARKETS, LLC
Pharmacy Address
TOPS PHARMACY #250
1275 JEFFERSON AVE
BUFFALO, NY 14208
Pharmacy Comments
Contract Details
Approval Date
7/14/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LaVonne Ansari, CEO
(716) 986-9199 Ext: 1002
Contract Pharmacy Representative
Tops Markets, LLC
Edlinda Borrero, Third Party Pharmacy Coordinator
(716) 635-5278
Signed By Date
7/14/2021
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