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KPH HEALTHCARE SERVICES, INC.
CH02821W 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
Mobile Health Unit
Type
HRSA-Funded Health Center
340B ID
CH02821W
Entity Address
112 Kimball Ave
Penn Yan, NY 14527-1816
Grant Number
H80CS00849
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
KPH HEALTHCARE SERVICES, INC.
Pharmacy Address
KINNEY DRUGS #111
7115 NORTH MAIN STREET
P.O. BOX 369
OVID, NY 14521
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
KPH Healthcare Services, Inc.
Debbi Barber, 340B Program Director
(315) 287-3600 Ext: 2423
Signed By Date
4/7/2025
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