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ECKERD CORPORATION
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
ECKERD CORPORATION
Pharmacy Address
RITE AID #10739
170 PORT WATSON STREET
CORTLAND, NY 13045
Pharmacy Comments
Contract Details
Approval Date
3/8/2013
Contract Begin Date
3/8/2013
Carve-In Effective Date
Contract Comments
03/08/2013 - public health emergency declared in the state of NY effective 10/27/2012
Contract Termination Date
Termination Reason
2/20/2018
Ownership change
Contacts
Covered Entity Signing Official
WALTER PRIEST, EXECUTIVE DIRECTOR
(607) 753-3797
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
3/8/2013
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