340B Drug Pricing Program Database
MEDLY PHARMACY INC.
CHC26191-00 Housing Works Health Services III, Inc. - information as of 5/21/2025 12:13:30 AM
Covered Entity Details
Entity Name
Housing Works Health Services III, Inc.
Subdivision Name
East New York Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26191-00
Entity Address
2640 Pitkin Ave
Brooklyn, NY 11208-2629
Grant Number
H80CS26191
Participating Start Date
10/1/2014
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
MEDLY PHARMACY INC.
Pharmacy Address
DBA MEDLY PHARMACY
31 DEBEVOISE ST
BROOKLYN, NY 11206-4196
Pharmacy Comments
Contract Details
Approval Date
10/16/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patricia Troy, SVP, Healthcare Services
(347) 473-7458
Contract Pharmacy Representative
Medly Pharmacy
Jitendra Patel, Pharmacy Director
(718) 782-7539
Signed By Date
10/16/2018
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