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ADIRONDACK APOTHECARY LLC
CH02179Z HUDSON HEADWATERS HEALTH NETWORK
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Covered Entity Details
Entity Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
Elderwood at Ticonderoga
Type
HRSA-Funded Health Center
340B ID
CH02179Z
Entity Address
1019 Wicker St
Ticonderoga, NY 12883-1039
Grant Number
H80CS00159
Participating Start Date
7/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ADIRONDACK APOTHECARY LLC
Pharmacy Address
D B A MORIAH PHARMACY
4315 MAIN ST
PORT HENRY, NY 12974-1339
Pharmacy Comments
Contract Details
Approval Date
4/12/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Tournier, CFO
(518) 761-0300 Ext: 31558
Contract Pharmacy Representative
Adirondack Apothecary
James Bowen, President
(518) 532-0005
Signed By Date
4/12/2023
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