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KINGS PARK SLOPE INC
HV00746 Promesa, Inc.
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Covered Entity Details
Entity Name
Promesa, Inc.
Subdivision Name
Promesa, Inc.
Type
Ryan White Part C
340B ID
HV00746
Entity Address
1776 Clay Avenue
Bronx, NY 10457
Grant Number
H76HA00746
Participating Start Date
7/1/2018
Last Recertification Date
2/26/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
KINGS PARK SLOPE INC
Pharmacy Address
D/B/A KINGS SUPER PHARMACY
357 FLATBUSH AVE
BROOKLYN, NY 11238
Pharmacy Comments
Contract Details
Approval Date
7/12/2018
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
Pamela Mattel, CEO
(718) 960-7601
Contract Pharmacy Representative
Promesa, Inc.
Dimitry Vagman, Supervising Pharmacist
(718) 230-3535
Signed By Date
7/12/2018
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