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TOPS MARKETS
CH020160 SYRACUSE COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SYRACUSE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
SYRACUSE COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH020160
Entity Address
819 S Salina St
Syracuse, NY 13202-3527
Grant Number
H80CS00434
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
TOPS MARKETS
Pharmacy Address
700 FIRST NORTH STREET
SYRACUSE, NY 13208
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amy C Ellingworth, CFO
(315) 476-7921 Ext: 2260
Contract Pharmacy Representative
Tops Markets, LLC
Edlinda Borrero, Third Party Pharmacy Coordinator
(716) 635-5278
Signed By Date
7/15/2021
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