340B Drug Pricing Program Database
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CH021887DK Sunset Park Health Council, Inc. (Active)
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Main Details
Name
Sunset Park Health Council, Inc.
Subdivision Name
Boro Park Pediatrics (12th Avenue) at Premium Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036290
340B ID
CH021887DK
Grant Number
H80CS07914
Additional Details
Current Program Status
Active
Registration Date
7/7/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/13/2023
Last Recertification Date
3/6/2025
Contacts
Authorizing Official
Sunset Park Health Council, Inc.
Larry K. McReynolds, Executive Director
(718) 630-7216
Primary Contact
Sunset Park Health Council, Inc.
Astrid P. Gonzalez, VP - Finance
(718) 630-7047
Addresses
Street Address
4406 12th Avenue
Brooklyn, NY 11219
Billing Address
Premium Health Center
620 Foster Avenue
Brooklyn, NY 11230
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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