Contract Pharmacy Details

DUANE READE
HV022690 NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

Covered Entity Details

Entity Name

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

Subdivision Name

SYDENHAM HEALTH CARE NETWORK

Type

Ryan White Part C

340B ID

HV022690

Entity Address

264 W 118th St
NEW YORK, NY 10026

Grant Number

H76HA00034

Participating Start Date

12/1/1992

Last Recertification Date

2/8/2018

Entity Termination Date

10/1/2018

Pharmacy Details

Pharmacy Name

DUANE READE

Pharmacy Address

135 EAST 125TH STREET
NEW YORK, NY 10035

Pharmacy Comments

Contract Details

Approval Date

1/19/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2018
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Antonio Martin, Ececutive Vice President & Chief Operating Officier
(212) 788-3479

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/19/2017

340B Drug Pricing Program Database