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STONE'S PHARMACY INC
CH02179R HUDSON HEADWATERS HEALTH NETWORK
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Covered Entity Details
Entity Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
Champlain Family Health
Type
HRSA-Funded Health Center
340B ID
CH02179R
Entity Address
828 State Route 11
Champlain, NY 12919-4819
Grant Number
H80CS00159
Participating Start Date
10/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
STONE'S PHARMACY INC
Pharmacy Address
1 MAIN ST
PO BOX 310
LAKE LUZERNE, NY 12846
Pharmacy Comments
Contract Details
Approval Date
11/6/2012
Contract Begin Date
10/27/2012
Carve-In Effective Date
Contract Comments
11/06/2012 public health emergency declared in the state of NY effective 10/27/2012
Contract Termination Date
Termination Reason
6/17/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
George Purdue, Chief Administrative Officer
(518) 761-0300 Ext: 31114
Contract Pharmacy Representative
Leigh McConchie, Pharmacist/Owner
(518) 761-0300
Signed By Date
10/1/2012
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