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PARKVIEW WEST SIDE RX, LLC
CH020010 Neighborhood Health Center of WNY, Inc.
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Covered Entity Details
Entity Name
Neighborhood Health Center of WNY, Inc.
Subdivision Name
Neighborhood Health Center Northwest
Type
HRSA-Funded Health Center
340B ID
CH020010
Entity Address
155 Lawn Ave
Buffalo, NY 14207-1816
Grant Number
H80CS00171
Participating Start Date
10/1/1997
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
PARKVIEW WEST SIDE RX, LLC
Pharmacy Address
1050 NIAGARA ST
STE 110
BUFFALO, NY 14213
Pharmacy Comments
Contract Details
Approval Date
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joanne Haefner, Chief Executive Officer
(716) 875-2904
Contract Pharmacy Representative
Parkview Health Services
Justin Walclawek, Director of Pharmacy
(716) 876-2323 Ext: 282
Signed By Date
1/15/2024
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