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MARTIN'S FOODS OF SOUTH BURLINGTON, LLC
CH02179AE HUDSON HEADWATERS HEALTH NETWORK
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Covered Entity Details
Entity Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
Warren Center
Type
HRSA-Funded Health Center
340B ID
CH02179AE
Entity Address
42 Gurney Ln
Queensbury, NY 12804-8250
Grant Number
H80CS00159
Participating Start Date
7/1/2021
Last Recertification Date
2/9/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
MARTIN'S FOODS OF SOUTH BURLINGTON, LLC
Pharmacy Address
DBA HANNAFORD SUPERMARKET & PHARMACY #83
190 QUAKER ROAD
QUEENSBURY, NY 12804
Pharmacy Comments
Contract Details
Approval Date
1/12/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Christopher Tournier, CFO
(518) 761-0300 Ext: 31558
Contract Pharmacy Representative
Martin's Foods
John McGrath, Vice President, Pharmacy Services
(207) 885-2348
Signed By Date
1/12/2023
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