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LINDENWOOD RX CENTER INC
HV021610 MORRIS HEIGHTS HEALTH CENTER
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Covered Entity Details
Entity Name
MORRIS HEIGHTS HEALTH CENTER
Subdivision Name
Type
Ryan White Part C
340B ID
HV021610
Entity Address
85 WEST BURNSIDE AVENUE
BRONX, NY 10453
Grant Number
H76HA00061
Participating Start Date
1/1/2000
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
LINDENWOOD RX CENTER INC
Pharmacy Address
LIRX
1380 LORING AVE
C/O PHARMACY
BROOKLYN, NY 11208
Pharmacy Comments
Contract Details
Approval Date
1/13/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
1/1/2017
Contract Comments
Contacts
Covered Entity Signing Official
Claudette Phipps, VP Planning and Development
(718) 483-1270 Ext: 2312
Contract Pharmacy Representative
LIRX
Jitendra Patel, Director Of Pharmacy
(718) 277-0898
Signed By Date
1/13/2016
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