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ACCREDO HEALTH GROUP, INC.
CH028210 FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC.
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Covered Entity Details
Entity Name
FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH028210
Entity Address
14 Maiden Lane
PENN YAN, NY 14527
Grant Number
H80CS00849
Participating Start Date
7/1/2003
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
4750 E 450 S
SUITE A
WHITESTOWN, IN 46075
Pharmacy Comments
Contract Details
Approval Date
7/14/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary A Zelazny, CEO
(315) 531-9102
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
7/14/2024
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