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CVS ALBANY, L.L.C.
FQHCLA445 Hudson Valley Regional Community Health Centers, Inc
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Covered Entity Details
Entity Name
Hudson Valley Regional Community Health Centers, Inc
Subdivision Name
Hudson Valley Regional Community Health Centers - Dutchess
Type
Health Center Program Look-Alike
340B ID
FQHCLA445
Entity Address
301 Manchester Rd Ste 104
Poughkeepsie, NY 12603-2587
Grant Number
LALCS49096
Participating Start Date
7/1/2023
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00418
2503 SOUTH RD.
POUGHKEEPSIE, NY 12601
Pharmacy Comments
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patrick R Murphy, CFO
(845) 278-6930
Contract Pharmacy Representative
wellpartner
Crissy Levisay, Account Manager
(239) 322-4188
Signed By Date
7/17/2023
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