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TULIP SUPER DRUGS INC.
CH02151BS Hudson River Healthcare, Inc.
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Covered Entity Details
Entity Name
Hudson River Healthcare, Inc.
Subdivision Name
Long Island FQHC - BEST Health Center
Type
HRSA-Funded Health Center
340B ID
CH02151BS
Entity Address
2150 Hempstead Tpke
Elmont, NY 11003-1551
Grant Number
H80CS00313
Participating Start Date
4/1/2018
Last Recertification Date
2/26/2021
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
TULIP SUPER DRUGS INC.
Pharmacy Address
D/B/A LEE'S DRUGS
160 TULIP AVE
FLORAL PARK, NY 11001-2706
Pharmacy Comments
Contract Details
Approval Date
7/9/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/30/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Allison Dubois-Adach, COO
(914) 734-8503
Contract Pharmacy Representative
Lee's Drugs
Saira Khan, Pharmacist
(516) 354-2000
Signed By Date
7/9/2018
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