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KPH HEALTHCARE SERVICES, INC.
CHC08746-00 United Cerebral Palsy Association of the North Country, Inc.
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Covered Entity Details
Entity Name
United Cerebral Palsy Association of the North Country, Inc.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CHC08746-00
Entity Address
4 COMMERCE LANE
CANTON, NY 13617-3739
Grant Number
H80CS08746
Participating Start Date
7/1/2009
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
KPH HEALTHCARE SERVICES, INC.
Pharmacy Address
KINNEY DRUGS #14
485 EAST MAIN STREET
MALONE, NY 12953
Pharmacy Comments
Contract Details
Approval Date
4/5/2010
Contract Begin Date
4/5/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DORIS CHENIER, EXECUTIVE DIRECTOR
(315) 386-1156 Ext: 2009
Contract Pharmacy Representative
Owen Halloran, Senior Vice President, Pharmacy Procurement
(315) 287-3600 Ext: 263
Signed By Date
3/26/2010
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