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BREWSTER PHARMACY INC
CH02152K OPEN DOOR FAMILY MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Subdivision Name
Open Door Family Medical Center @ Brewster
Type
HRSA-Funded Health Center
340B ID
CH02152K
Entity Address
155 Main St
Brewster, NY 10509-1521
Grant Number
H80CS00160
Participating Start Date
10/27/2012
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
BREWSTER PHARMACY INC
Pharmacy Address
D/B/A TRUCARE PHARMACY
995 ROUTE 22
BREWSTER, NY 10509
Pharmacy Comments
Contract Details
Approval Date
12/21/2012
Contract Begin Date
10/27/2012
Carve-In Effective Date
Contract Comments
12/21/2012 - public health emergency declared in the state of NY effective 10/27/2012
Contract Termination Date
Termination Reason
4/14/2017
Ownership change
Contacts
Covered Entity Signing Official
Lindsay Farrell, President and CEO
(914) 502-1450
Contract Pharmacy Representative
Cinimol Varughese, Pharmacist
(845) 279-2932
Signed By Date
12/12/2012
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