Contract Pharmacy Details

HARLEM RX INC
CH021630 COMMUNITY HEALTHCARE NETWORK

Covered Entity Details

Entity Name

COMMUNITY HEALTHCARE NETWORK

Subdivision Name

COMMUNITY HEALTHCARE NETWORK

Type

HRSA-Funded Health Center

340B ID

CH021630

Entity Address

60 MADSION AVE
5TH FLOOR
NEW YORK, NY 10010

Grant Number

H80CS00597

Participating Start Date

10/1/2001

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

HARLEM RX INC

Pharmacy Address

102 D E F W. 116TH STREET
NEW YORK, NY 10026

Pharmacy Comments

Contract Details

Approval Date

7/14/2015

Contract Begin Date

10/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Alan Wengrofsky, CFO
(212) 545-2481

Contract Pharmacy Representative

Ajantha Bommareddy, Owner
(212) 666-8100

Signed By Date

7/14/2015