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HMB PHARMACY MANAGEMENT LLC
CH022070 ANTHONY L JORDAN HEALTH CORP
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Covered Entity Details
Entity Name
ANTHONY L JORDAN HEALTH CORP
Subdivision Name
Main Site
Type
HRSA-Funded Health Center
340B ID
CH022070
Entity Address
82 Holland St
Rochester, NY 14605-2131
Grant Number
H80CS21582
Participating Start Date
10/1/2011
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HMB PHARMACY MANAGEMENT LLC
Pharmacy Address
D/B/A METCARE RX
480 GENESEE ST
D B A METCARE RX
ROCHESTER, NY 14611-3634
Pharmacy Comments
04/13/2012 updated name ( added DBA Metcare Rx)
Contract Details
Approval Date
4/9/2012
Contract Begin Date
4/9/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/15/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Bridgette Wiefling, CEO
(585) 423-2878
Contract Pharmacy Representative
Metcare
Samir Desai, Director of Pharmacy
(716) 332-2866
Signed By Date
4/9/2012
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