Pharmacy Details

LIVONIA PHARMACY INC - information as of 6/16/2025 11:51:20 PM

Name
LIVONIA PHARMACY INC

Address

625A LIVONIA AVE
BROOKLYN, NY 11207

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	FQHCLA334	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	Washington Heights	Health Center Program Look-Alike	600 W 168th St		New York	NY	10/01/2016	04/01/2018	4/1/2018 12:00 AM
Details	FQHCLA334U	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	East New York Diagnostic and Treatment Center	Health Center Program Look-Alike	2094 Pitkin Ave		Brooklyn	NY	01/01/2018	04/01/2019	4/1/2019 12:05 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			LIVONIA PHARMACY INC 625A LIVONIA AVE BROOKLYN, NY 11207	9/29/2017 6:44 AM
Details	Comments	Insert				6/23/2015 12:42 PM
Details	Is Deleted	Insert			False	6/23/2015 12:42 PM
Addresses	Pharmacy Address	Insert			LIVONIA PHARMACY INC 625A LIVONIA AVE BROOKLYN, NY 11207	6/23/2015 12:42 PM
Details	Name	Insert			LIVONIA PHARMACY INC	6/23/2015 12:42 PM