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WAL-MART PHARMACY 10-4403
CH02179AF HUDSON HEADWATERS HEALTH NETWORK
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Covered Entity Details
Entity Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
Elderwood at North Creek
Type
HRSA-Funded Health Center
340B ID
CH02179AF
Entity Address
112 Ski Bowl Rd
North Creek, NY 12853-2607
Grant Number
H80CS00159
Participating Start Date
7/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-4403
Pharmacy Address
24 QUAKER RIDGE BLVD.
QUEENSBURY, NY 12804
Pharmacy Comments
Contract Details
Approval Date
1/12/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Tournier, CFO
(518) 761-0300 Ext: 31558
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/12/2023
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