Pharmacy Details

PORT EWEN RX INC. - information as of 5/20/2025 1:00:25 AM

Name
PORT EWEN RX INC.

Address

D/B/A PORT EWEN PHARMACY
177 BROADWAY
PORT EWEN, NY 12466

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CH02371AE	INSTITUTE FOR FAMILY HEALTH, THE	OB/GYN AND SPECIALTY CARE CENTER OF KINGSTON	HRSA-Funded Health Center	1 Foxhall Ave		Kingston	NY	01/01/2024	01/01/2024	1/1/2024 12:01 AM
Details	CH02371AG	INSTITUTE FOR FAMILY HEALTH, THE	Family Health Center of Harlem	HRSA-Funded Health Center	1824 Madison Ave		New York	NY	07/01/2017		5/15/2017 1:55 PM
Details	CH02371C	INSTITUTE FOR FAMILY HEALTH, THE	SIDNEY HILLMAN and PHILLIPS FAMILY PRACTICE	HRSA-Funded Health Center	16 EAST 16TH STREET FL 3RD FLOOR		NEW YORK	NY	07/01/2017	01/01/2018	1/1/2018 12:00 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				7/15/2014 10:33 AM
Details	Is Deleted	Insert			False	7/15/2014 10:33 AM
Addresses	Pharmacy Address	Insert			PORT EWEN RX INC. D/B/A PORT EWEN PHARMACY 177 BROADWAY PORT EWEN, NY 12466	7/15/2014 10:33 AM
Details	Name	Insert			PORT EWEN RX INC.	7/15/2014 10:33 AM