340B Drug Pricing Program Database


90-15 ROOSEVELT PHARMACY CORP - information as of 5/2/2025 12:20:22 AM


90-15 ROOSEVELT PHARMACY CORP

D/B/A MI FARMACIA
90-15 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372-7938



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH330128ELMHURST HOSPITAL CENTER (NYCHHC) Disproportionate Share Hospital79-01 BROADWAY
ELMHURSTNY07/01/201908/08/20238/11/2023 4:42 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  90-15 ROOSEVELT PHARMACY CORP D/B/A MI FARMACIA 90-15 ROOSEVELT AVE JACKSON HEIGHTS, NY 11372-79384/28/2020 1:24 PM
AddressesPharmacy AddressInsert  90-15 ROOSEVELT PHARMACY CORP D/B/A MI FARMACIA 90-15 ROOSEVELT AVENUE JACKSON HEIGHTS, NY 11372-79383/9/2020 3:55 PM
AddressesPharmacy AddressUpdate 90-15 ROOSEVELT PHARMACY CORP D/B/A MI FARMACIA 90-15 ROOSEVELT AVENUE JAMACIA, NY 11432-900190-15 ROOSEVELT PHARMACY CORP D/B/A MI FARMACIA 90-15 ROOSEVELT AVENUE JACKSON HEIGHTS, NY 11372-11374/28/2017 10:56 AM
AddressesPharmacy AddressUpdate 90-15 ROOSEVELT PHARMACY CORP MR. 90-15 ROOSEVELT AVENUE JACKSON HEIGHTS, NY 1137290-15 ROOSEVELT PHARMACY CORP D/B/A MI FARMACIA 90-15 ROOSEVELT AVENUE JAMACIA, NY 11432-90014/11/2017 1:37 PM
AddressesPharmacy AddressUpdate 90-15 ROOSEVELT PHARMACY CORP MI FARMACIA 90-15 ROOSEVELT AVENUE JACKSON HEIGHTS, NY 1137290-15 ROOSEVELT PHARMACY CORP MR. 90-15 ROOSEVELT AVENUE JACKSON HEIGHTS, NY 113723/28/2017 11:00 AM
DetailsCommentsInsert   3/28/2013 4:02 PM
DetailsIs DeletedInsert  False3/28/2013 4:02 PM
AddressesPharmacy AddressInsert  90-15 ROOSEVELT PHARMACY CORP MI FARMACIA 90-15 ROOSEVELT AVENUE JACKSON HEIGHTS, NY 113723/28/2013 4:02 PM
DetailsNameInsert  90-15 ROOSEVELT PHARMACY CORP3/28/2013 4:02 PM