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KPH HEALTHCARE SERVICES, INC.
CHC24163-04 East Hill Family Medical Inc
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Covered Entity Details
Entity Name
East Hill Family Medical Inc
Subdivision Name
EHMC Mobile Van
Type
HRSA-Funded Health Center
340B ID
CHC24163-04
Entity Address
144 Genesee St STE 500
Auburn, NY 13021-3510
Grant Number
H80CS24163
Participating Start Date
10/1/2023
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KPH HEALTHCARE SERVICES, INC.
Pharmacy Address
KINNEY DRUGS #63
187 STATE STREET
AUBURN, NY 13021
Pharmacy Comments
Contract Details
Approval Date
4/10/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
April Miles, President & CEO
(315) 612-3465 Ext: 3465
Contract Pharmacy Representative
Kinney Drugs
Debbi Barber, Director of Pharmacy Programs
(315) 287-3600 Ext: 2423
Signed By Date
4/10/2024
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