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RITE AID OF NEW YORK, INC.
CH024690 COMMUNITY HEALTH CENTER OF BUFFALO, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF BUFFALO, INC.
Subdivision Name
34 Benwood Ave Buffalo, NY 14214
Type
HRSA-Funded Health Center
340B ID
CH024690
Entity Address
34 Benwood
Buffalo, NY 14214-1761
Grant Number
H80CS00157
Participating Start Date
4/1/2003
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
RITE AID OF NEW YORK, INC.
Pharmacy Address
RITE AID #1079
3924 HARLEM ROAD
AMHEREST, NY 14226
Pharmacy Comments
Contract Details
Approval Date
10/7/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LaVonne Ansari, CEO
(716) 986-9199 Ext: 1002
Contract Pharmacy Representative
Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505
Signed By Date
10/7/2024
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