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C & C DRUG INC
RWI10029 AIDS Service Center of Lower Manhattan Inc
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Covered Entity Details
Entity Name
AIDS Service Center of Lower Manhattan Inc
Subdivision Name
Type
Ryan White Part A
340B ID
RWI10029
Entity Address
315 East 104th St.
New York, NY 10029
Grant Number
H89HA00015
Participating Start Date
6/11/2013
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
C & C DRUG INC
Pharmacy Address
D/B/A CITY DRUG AND SURGICAL
1-7 AUDUBON AVE
NEW YORK, NY 10032
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sharen I. Duke, ED/CEO
(212) 645-0875 Ext: 304
Contract Pharmacy Representative
C & C DRUG ING
David Chan, Secretary Treasurer
(212) 543-1554
Signed By Date
1/14/2019
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