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WALGREEN EASTERN CO., INC.
CH02821R FINGER LAKES MIGRANT HEALTH CARE
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Covered Entity Details
Entity Name
FINGER LAKES MIGRANT HEALTH CARE
Subdivision Name
Mobile Medical Van
Type
HRSA-Funded Health Center
340B ID
CH02821R
Entity Address
14 Maiden Ln
Penn Yan, NY 14527-1208
Grant Number
H80CS00849
Participating Start Date
4/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #19736
5651 WHISKEY HILL RD
WOLCOTT, NY 14590
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
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
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/16/2024
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