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PARKVIEW NIAGARA STREET, LLC
CHC24165-01 NORTH COUNTRY FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
NORTH COUNTRY FAMILY HEALTH CENTER, INC.
Subdivision Name
North Country Family Health Center - Lowville
Type
HRSA-Funded Health Center
340B ID
CHC24165-01
Entity Address
7785 N. State Street
Lowville, NY 13367-1229
Grant Number
H80CS24165
Participating Start Date
4/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PARKVIEW NIAGARA STREET, LLC
Pharmacy Address
DBA RIVERVIEW PROFESSIONAL PHARMACY
3920 MAIN ST STE 150
AMHERST, NY 14226
Pharmacy Comments
Contract Details
Approval Date
10/11/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joey Marie Horton, Chief Executive Officer
(315) 782-9450
Contract Pharmacy Representative
Parkview Health Services
Justin Walclawek, Director of Pharmacy
(716) 876-2323 Ext: 282
Signed By Date
10/11/2024
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