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OLSHINS PHARMACY
CHC00064-04 ODA PRIMARY HEALTH CARE CENTER, INC.
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Covered Entity Details
Entity Name
ODA PRIMARY HEALTH CARE CENTER, INC.
Subdivision Name
ODA Monticello Primary Health Care Center
Type
HRSA-Funded Health Center
340B ID
CHC00064-04
Entity Address
60 Jefferson Street Suite 1
Monticello, NY 12701-1131
Grant Number
H80CS00064
Participating Start Date
7/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
OLSHINS PHARMACY
Pharmacy Address
114 CONGRESS ST
NEWARK, NJ 07105
Pharmacy Comments
Contract Details
Approval Date
5/15/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Alliance PA Pharmacy
Joel Grodman, Pharmacist
(973) 589-5000
Signed By Date
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