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WALGREEN EASTERN CO., INC.
CH021240 FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC.
Subdivision Name
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC.
Type
HRSA-Funded Health Center
340B ID
CH021240
Entity Address
85 South West Street
Homer, NY 13077
Grant Number
H80CS00065
Participating Start Date
1/1/1997
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 10157
150 GRANT AVENUE
AUBURN, NY 13021-1502
Pharmacy Comments
Contract Details
Approval Date
4/11/2011
Contract Begin Date
5/17/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/29/2011
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