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HERBST PHARMACY INC
CH02821M 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
Keuka College Family Planning
Type
HRSA-Funded Health Center
340B ID
CH02821M
Entity Address
141 Central Ave
Keuka Park, NY 14478-9764
Grant Number
H80CS00849
Participating Start Date
3/5/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HERBST PHARMACY INC
Pharmacy Address
1 CHURCH ST
PORT BYRON, NY 13140-7701
Pharmacy Comments
Contract Details
Approval Date
4/7/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary A Zelazny, CEO
(315) 531-9102
Contract Pharmacy Representative
Herbst Pharmacy
Matthew Herbst, Pharmacist/Owner
(315) 776-4372
Signed By Date
4/7/2025
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