340B Drug Pricing Program Database
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CH02360AD URBAN HEALTH PLAN, INC. (Active)
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Main Details
Name
URBAN HEALTH PLAN, INC.
Subdivision Name
Fannie Lou Hamer M.S./P.S. 66
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027575
340B ID
CH02360AD
Grant Number
H80CS00368
Additional Details
Current Program Status
Active
Registration Date
7/7/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/22/2022
Last Recertification Date
2/1/2024
Contacts
Authorizing Official
Urban Health Plan, Inc.
Paloma Hernandez, President and CEO
(718) 589-2440 Ext: 4219
Primary Contact
Urban Health Plan, Inc.
MIKE SIKAND, 340B Admnistrator
(347) 267-4420
Addresses
Street Address
1001 Jennings St
Bronx, NY 10460-6032
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2024
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