Contract Pharmacy Details

HEALTHSMART
CH021520 OPEN DOOR FAMILY MEDICAL CENTER, INC.

Covered Entity Details

Entity Name

OPEN DOOR FAMILY MEDICAL CENTER, INC.

Subdivision Name

OPEN DOOR FAMILY MEDICAL CENTER, INC.

Type

HRSA-Funded Health Center

340B ID

CH021520

Entity Address

165 Main St
Ossining, NY 10562-4702

Grant Number

H80CS00160

Participating Start Date

12/1/1992

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

HEALTHSMART

Pharmacy Address

203 MAIN ST
OSSINING, NY 10562-4750

Pharmacy Comments

Contract Details

Approval Date

2/15/2004

Contract Begin Date

2/15/2004

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/30/2020
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

340B Drug Pricing Program Database