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EVERS CAMBRIA INC
CH022110 THE ADDABBO JOSEPH P FAMILY HEALTH CENTER INC
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Covered Entity Details
Entity Name
THE ADDABBO JOSEPH P FAMILY HEALTH CENTER INC
Subdivision Name
JOSEPH P. ADDABBO FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH022110
Entity Address
6200 Beach Channel Dr
Arverne, NY 11692-1409
Grant Number
H80CS00430
Participating Start Date
4/1/2003
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
EVERS CAMBRIA INC
Pharmacy Address
DBA: EVERS PHARMACY
208-07B LINDEN BLVD
CAMBRIA HEIGHTS, NY 11411-1141
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Majorie J. Hill, CEO
(718) 945-7150 Ext: 1308
Contract Pharmacy Representative
Evers Pharmacy
Bobby Rallakis, Owner
(646) 943-4012
Signed By Date
7/16/2018
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