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CAREMARK MASSACHUSETTS SPECIALTY PHARMAC
CH028210 FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC.
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Covered Entity Details
Entity Name
FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH028210
Entity Address
14 Maiden Lane
PENN YAN, NY 14527
Grant Number
H80CS00849
Participating Start Date
7/1/2003
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CAREMARK MASSACHUSETTS SPECIALTY PHARMAC
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
25 BIRCH STREET, BLDG B, SUITE 100
MILFORD, MA 01757
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary A Zelazny, CEO
(315) 531-9102
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/11/2024
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