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HUDSON PHARMACY & SURGICAL SUPPLIES INC
CH021520 OPEN DOOR FAMILY MEDICAL CENTER, INC.
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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
HUDSON PHARMACY & SURGICAL SUPPLIES INC
Pharmacy Address
40 SPRING ST
OSSINING, NY 10562-4716
Pharmacy Comments
Contract Details
Approval Date
12/8/2011
Contract Begin Date
1/1/2012
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
ANITA WILENKIN, COO
(914) 502-1452
Contract Pharmacy Representative
Frank Frustace, Director of Pharmacy Services
(914) 941-4476
Signed By Date
11/25/2011
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