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PRICE CHOPPER OPERATING CO., INC.
CH02179S HUDSON HEADWATERS HEALTH NETWORK
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Covered Entity Details
Entity Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
Hudson Headwaters Women's Health
Type
HRSA-Funded Health Center
340B ID
CH02179S
Entity Address
90 SOUTH STREET
GLENS FALLS, NY 12801-4328
Grant Number
H80CS00159
Participating Start Date
10/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PRICE CHOPPER OPERATING CO., INC.
Pharmacy Address
HOUSECALLS PHARMACY 201
3761 MAIN STREET
WARRENSBURG, NY 12885
Pharmacy Comments
Contract Details
Approval Date
10/1/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
George Purdue, Chief Administrative Officer
(518) 761-0300 Ext: 31114
Contract Pharmacy Representative
Vincent Mainella, Vice President of Pharmacy
(518) 379-1604
Signed By Date
10/1/2013
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