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J HORN LLC
CHC24140-02 Southern Tier Community Health Center Network
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Covered Entity Details
Entity Name
Southern Tier Community Health Center Network
Subdivision Name
Southern Tier Community Health Center Network, Houghton site
Type
HRSA-Funded Health Center
340B ID
CHC24140-02
Entity Address
9864 Luckey Dr
Houghton, NY 14744-8706
Grant Number
H80CS24140
Participating Start Date
3/1/2013
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
J HORN LLC
Pharmacy Address
DBA: DAN HORN PHARMACY & HEALTH SERVICES
111 E GREEN ST
OLEAN, NY 14760
Pharmacy Comments
Contract Details
Approval Date
10/10/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gail Speedy Mayeaux, Executive Director
(716) 375-7500 Ext: 6831
Contract Pharmacy Representative
Dan Horn
Dan Horn, Owner/Pharmacist
(716) 376-6337
Signed By Date
10/10/2014
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