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WALGREEN EASTERN CO., INC.
CH02211K THE ADDABBO JOSEPH P FAMILY HEALTH CENTER INC
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Covered Entity Details
Entity Name
THE ADDABBO JOSEPH P FAMILY HEALTH CENTER INC
Subdivision Name
Joseph P. Addabbo Family Health Center, Inc. - Ozone Park
Type
HRSA-Funded Health Center
340B ID
CH02211K
Entity Address
10534 Rockaway Blvd
Ozone Park, NY 11417-2306
Grant Number
H80CS00430
Participating Start Date
10/1/2014
Last Recertification Date
2/20/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #17151
10640 ROCKAWAY BEACH BLVD
ROCKAWAY PARK, NY 11694
Pharmacy Comments
Contract Details
Approval Date
1/22/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Majorie J. Hill, CEO
(718) 945-7150 Ext: 1308
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/22/2019
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