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CVS ALBANY, L.L.C.
CHC26630-00 JERICHO ROAD MINISTRIES INC.
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Covered Entity Details
Entity Name
JERICHO ROAD MINISTRIES INC.
Subdivision Name
Jericho Road CHC (Barton)
Type
HRSA-Funded Health Center
340B ID
CHC26630-00
Entity Address
184 BARTON STREET
Buffalo, NY 14213-1573
Grant Number
H80CS26630
Participating Start Date
7/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00609
1625 ELMWOOD AVE.
SPECTRUM BLDG
BUFFALO, NY 14207
Pharmacy Comments
Contract Details
Approval Date
7/7/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Myron Glick, Chief Executive Officer
(716) 348-3000
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/7/2023
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