340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ST LUKE'S ROOSEVELT HOSPITAL CENTER
RWI10029 AIDS Service Center of Lower Manhattan Inc
Print
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
ST LUKE'S ROOSEVELT HOSPITAL CENTER
Pharmacy Address
MOUNT SINAI PHARMACY - CHELSEA
275 7TH AVE FL 12
NEW YORK, NY 10001
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
West Village Pharmacy
Maisoun Sioufi, Supervising Pharmacist
(212) 636-3600
Signed By Date
1/14/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session