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NOBLE HEALTH SERVICES INC.
FQHCLA342 TRILLIUM HEALTH, INC.
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Covered Entity Details
Entity Name
TRILLIUM HEALTH, INC.
Subdivision Name
Trillium Health at Monroe Square
Type
Health Center Program Look-Alike
340B ID
FQHCLA342
Entity Address
259 Monroe Avenue Suite 100
Rochester, NY 14607-3632
Grant Number
LALCS00182
Participating Start Date
1/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
NOBLE HEALTH SERVICES INC.
Pharmacy Address
6040 TARBELL ROAD
SYRACUSE, NY 13206
Pharmacy Comments
Contract Details
Approval Date
12/9/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MEG RUSSELL, Sr. V.P., CFO, CCO
(585) 545-7200 Ext: 4138
Contract Pharmacy Representative
KPH Healthcare Services, Inc.
Debbi Barber, 340B Program Director
(315) 287-3600 Ext: 2423
Signed By Date
12/9/2016
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