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HEALTHSMART
CH02152M OPEN DOOR FAMILY MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Subdivision Name
Ossining High School - SBHC
Type
HRSA-Funded Health Center
340B ID
CH02152M
Entity Address
29 S HIGHLAND AVE
OSSINING, NY 10562-4811
Grant Number
H80CS00160
Participating Start Date
7/1/2015
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
HEALTHSMART
Pharmacy Address
203 MAIN ST
OSSINING, NY 10562-4750
Pharmacy Comments
Contract Details
Approval Date
4/16/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Tulio G. Bruno, Pharmacist
(914) 923-3000
Signed By Date
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