340B Drug Pricing Program Database

Pharmacy Name

LIFE PHARMA II INC

Pharmacy Address

D/B/A LIFE PHARMACY
471 LENOX AVE
NEW YORK, NY 10037-3000

Pharmacy Comments

Approval Date

4/19/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Paul Albertson, Vice President
(212) 748-2256

Contract Pharmacy Representative

JOJAN
RATHNA VEERAMACHANANI, Owner
(609) 386-0141 Ext: 7183815116

Signed By Date

4/19/2019