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HMB PHARMACY MANAGEMENT LLC
CH02207H ANTHONY L JORDAN HEALTH CORP
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Covered Entity Details
Entity Name
ANTHONY L JORDAN HEALTH CORP
Subdivision Name
Jordan Health at Glenwood Gardens
Type
HRSA-Funded Health Center
340B ID
CH02207H
Entity Address
41 Kestrel St
Rochester, NY 14613-2120
Grant Number
H80CS21582
Participating Start Date
7/1/2012
Last Recertification Date
2/20/2023
Entity Termination Date
1/1/2024
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
6/12/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jonathan Clune, CFO
(585) 423-2813
Contract Pharmacy Representative
Metcare
Samir Desai, Director of Pharmacy
(716) 332-2866
Signed By Date
6/12/2017
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