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PARKVIEW HEALTH SERVICES, LLC
CHC24166-03 Chautauqua Center, The
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Covered Entity Details
Entity Name
Chautauqua Center, The
Subdivision Name
1134 Central Avenue Dunkirk
Type
HRSA-Funded Health Center
340B ID
CHC24166-03
Entity Address
1134 Central Ave
Dunkirk, NY 14048-3423
Grant Number
H80CS24166
Participating Start Date
10/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PARKVIEW HEALTH SERVICES, LLC
Pharmacy Address
3920 MAIN ST STE 100
AMHERST, NY 14226
Pharmacy Comments
Contract Details
Approval Date
7/12/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael C Pease, CEO
(716) 363-6890
Contract Pharmacy Representative
Parkview Health Services
Justin Walclawek, Director of Pharmacy
(716) 876-2323 Ext: 282
Signed By Date
7/12/2022
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