340B Drug Pricing Program Database
PRXP OF NEW YORK LLC
STD900222 Bienestar Human Services, Inc - information as of 4/25/2025 6:39:11 PM
Covered Entity Details
Entity Name
Bienestar Human Services, Inc
Subdivision Name
HIV & STD Programs
Type
Sexually Transmitted Diseases
340B ID
STD900222
Entity Address
5326 E BEVERLY BLVD
LOS ANGELES, CA 90022-2104
Grant Number
6NU62PS924569
Participating Start Date
7/1/2021
Last Recertification Date
5/10/2024
Pharmacy Details
Pharmacy Name
PRXP OF NEW YORK LLC
Pharmacy Address
DBA BROADWAY FAMILY PHARMACY
601 AMSTERDAM AVE
NEW YORK, NY 10024
Pharmacy Comments
Contract Details
Approval Date
6/15/2022
Contract Begin Date
6/16/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Contreras, President & CEO
(323) 545-6577
Contract Pharmacy Representative
Physicians Rx Pharmacy of Clinton
Chris Wakefield, Manager
(412) 357-5163
Signed By Date
6/15/2022
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