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CH02848M DAMIAN FAMILY CARE CENTERS, INC. (Active)
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Main Details
Name
DAMIAN FAMILY CARE CENTERS, INC.
Subdivision Name
Long Island City Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019438
340B ID
CH02848M
Grant Number
H80CS01765
Additional Details
Current Program Status
Active
Registration Date
4/17/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/24/2017
Last Recertification Date
2/13/2024
Contacts
Authorizing Official
Damian Family Care Centers, Inc.
Peter Grisafi, CEO
(718) 657-1100 Ext: 1225
Primary Contact
Damian Family Care Centers, Inc.
Juan P Garcia, Director of Pharmacy Services
(718) 657-1100 Ext: 4124
Addresses
Street Address
34-11 Vernon Blvd.
Long Island City, NY 11106-5121
Billing Address
Damian Family Care Centers, Inc.
89-56 162nd Street
3rd Floor
Jamaica, NY 11432
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2024
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