340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
If the website does not look right please refresh your local cache. This is typically done by pressing Ctrl+F5 on browsers running in Windows or Cmd+Shift+R on a Mac.
1070 SOUTHERN DRUG LLC
CH02360AB URBAN HEALTH PLAN, INC.
Print
Covered Entity Details
Entity Name
URBAN HEALTH PLAN, INC.
Subdivision Name
Archcare - St. Vincent de Paul Residence
Type
HRSA-Funded Health Center
340B ID
CH02360AB
Entity Address
900 Intervale Ave
Bronx, NY 10459-4240
Grant Number
H80CS00368
Participating Start Date
7/1/2019
Last Recertification Date
2/1/2024
Pharmacy Details
Pharmacy Name
1070 SOUTHERN DRUG LLC
Pharmacy Address
1070 SOUTHERN BLVD
BRONX, NY 10459-2499
Pharmacy Comments
Contract Details
Approval Date
5/6/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paloma Hernandez, President and CEO
(718) 589-2440 Ext: 4219
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
4/19/2019
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