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HMB PHARMACY MANAGEMENT LLC
CH02207K ANTHONY L JORDAN HEALTH CORP
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Covered Entity Details
Entity Name
ANTHONY L JORDAN HEALTH CORP
Subdivision Name
Jordan Health @ Community Place
Type
HRSA-Funded Health Center
340B ID
CH02207K
Entity Address
151 PARSELLS AVE
ROCHESTER, NY 14609-5118
Grant Number
H80CS21582
Participating Start Date
7/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
HMB PHARMACY MANAGEMENT LLC
Pharmacy Address
D/B/A METCARE RX
322 LAKE AVE
D B A METCARE RX
ROCHESTER, NY 14608-1162
Pharmacy Comments
04/13/2012 updated name (added DBA Metcare Rx)
Contract Details
Approval Date
6/12/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/19/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jonathan Clune, CFO
(585) 423-2813
Contract Pharmacy Representative
Metcare
Samir Desai, Director of Pharmacy
(716) 332-2866
Signed By Date
6/12/2017
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