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GEM DRUG CORPORATION
RWII12203 The Albany Damien Center, Inc.
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Covered Entity Details
Entity Name
The Albany Damien Center, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII12203
Entity Address
728 Madison Ave, Ste 100
Albany, NY 12208-3302
Grant Number
X07HA00044
Participating Start Date
10/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GEM DRUG CORPORATION
Pharmacy Address
DBA LINCOLN PHARMACY
300 MORTON AVE
ALBANY, NY 12209
Pharmacy Comments
Contract Details
Approval Date
7/8/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Perry Junjulas, Executive Director
(518) 449-7119 Ext: 102
Contract Pharmacy Representative
GEM Drug Corporation dba Lincoln Pharmacy
Zarina Jalal, Pharmacy Manager
(518) 465-2253
Signed By Date
7/8/2024
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