340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THE GOLUB CORPORATION
CHC24165-00 North Country Family Health Center, Inc.
Print
Covered Entity Details
Entity Name
North Country Family Health Center, Inc.
Subdivision Name
North Country Family Health Center - Main Campus
Type
HRSA-Funded Health Center
340B ID
CHC24165-00
Entity Address
238 Arsenal St
Watertown, NY 13601-2504
Grant Number
H80CS24165
Participating Start Date
10/27/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
THE GOLUB CORPORATION
Pharmacy Address
PRICE CHOPPER PHARMACY #102
1283 ARSENAL ST
WATERTOWN, NY 13601
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/14/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Joey Marie Horton, Chief Executive Officer
(315) 782-9450
Contract Pharmacy Representative
Price Chopper
Dan Fortier, Representative
(315) 788-1645
Signed By Date
4/15/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session