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PROSPECT AVE PHARMACY
CHC26631-00 LA CASA DE SALUD INC.
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Covered Entity Details
Entity Name
LA CASA DE SALUD INC.
Subdivision Name
La Casa de Salud, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC26631-00
Entity Address
966 Prospect Ave
Bronx, NY 10459-3270
Grant Number
H80CS26631
Participating Start Date
7/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
PROSPECT AVE PHARMACY
Pharmacy Address
LONGWOOD PHARMACY
993 PROSPECT AVE
BRONX, NY 10459-2903
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/31/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Raul Russi, Chief Executive Officer
(347) 649-3037
Contract Pharmacy Representative
Utica Pharmacy
Syed Muzaffar, Primary Contact
(718) 328-3593
Signed By Date
1/15/2019
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