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PERNA NIAGARA, INC.
CH020010 Neighborhood Health Center of WNY, Inc.
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Covered Entity Details
Entity Name
Neighborhood Health Center of WNY, Inc.
Subdivision Name
Neighborhood Health Center Northwest
Type
HRSA-Funded Health Center
340B ID
CH020010
Entity Address
155 Lawn Ave
Buffalo, NY 14207-1816
Grant Number
H80CS00171
Participating Start Date
10/1/1997
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
PERNA NIAGARA, INC.
Pharmacy Address
DBA: TOPS MARKET #113
425 NIAGARA ST
BUFFALO, NY 14201
Pharmacy Comments
Contract Details
Approval Date
7/12/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/19/2024
Ownership change
Contacts
Covered Entity Signing Official
Joanne Haefner, Chief Executive Officer
(716) 875-2904
Contract Pharmacy Representative
Tops Markets
Brian Huckle, Director of Pharmacy
(716) 635-5275
Signed By Date
7/12/2013
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