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NL PHARMACY LLC
RWI11207 Family Services Network of New York, Inc.
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Covered Entity Details
Entity Name
Family Services Network of New York, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI11207
Entity Address
1420 Bushwick Avenue
Brooklyn, NY 11207
Grant Number
H89HA00015
Participating Start Date
10/1/2018
Last Recertification Date
2/23/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
NL PHARMACY LLC
Pharmacy Address
475 NEW LOTS AVE
BROOKLYN, NY 11207
Pharmacy Comments
Contract Details
Approval Date
8/2/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Benarge Igwe, Director
(718) 455-6010 Ext: 6168
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
7/5/2018
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