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J HORN LLC
CHC24140-03 Southern Tier Community Health Center Network
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Covered Entity Details
Entity Name
Southern Tier Community Health Center Network
Subdivision Name
Southern Tier Community Health Center Network, Salamanca site
Type
HRSA-Funded Health Center
340B ID
CHC24140-03
Entity Address
445 Broad St.
Salamanca, NY 14779-1424
Grant Number
H80CS24140
Participating Start Date
7/1/2017
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
J HORN LLC
Pharmacy Address
DBA: DAN HORN PHARMACY & HEALTH SERVICES
111 E GREEN ST
OLEAN, NY 14760
Pharmacy Comments
Contract Details
Approval Date
7/1/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brett Lawton, CEO
(716) 701-6831
Contract Pharmacy Representative
Southern Tier Community Health Center Network, Inc.
Gail Speedy Mayeaux, Executive Director
(716) 375-7500 Ext: 6831
Signed By Date
7/1/2024
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