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WALGREEN EASTERN CO., INC.
CHC24163-08 EAST HILL FAMILY MEDICAL INC.
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Covered Entity Details
Entity Name
EAST HILL FAMILY MEDICAL INC.
Subdivision Name
Port Byron Central School
Type
HRSA-Funded Health Center
340B ID
CHC24163-08
Entity Address
30 Maple Ave
Port Byron, NY 13140-3404
Grant Number
H80CS24163
Participating Start Date
7/1/2024
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 10157
150 GRANT AVENUE
AUBURN, NY 13021-1502
Pharmacy Comments
Contract Details
Approval Date
7/12/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
April Miles, President & CEO
(315) 612-3465 Ext: 3465
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/12/2024
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