Contract Pharmacy Details

TU FARMACIA
CHC29018-00 NEW YORK CITY HEALTH AND HOSPITALS

Covered Entity Details

Entity Name

NEW YORK CITY HEALTH AND HOSPITALS

Subdivision Name

Cumberland Diagnostic and Treatment Center

Type

HRSA-Funded Health Center

340B ID

CHC29018-00

Entity Address

100 N Portland Ave
Brooklyn, NY 11205-2005

Grant Number

H80CS29018

Participating Start Date

4/1/2016

Last Recertification Date

3/5/2025

Pharmacy Details

Pharmacy Name

TU FARMACIA

Pharmacy Address

553 SOUTHERN BLVD
BRONX, NY 10455

Pharmacy Comments

Contract Details

Approval Date

7/2/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Paul Albertson, Vice President
(212) 748-2256

Contract Pharmacy Representative

Tu Farmacia Inc
Syed Momin, President
(718) 292-8513

Signed By Date

7/2/2019

340B Drug Pricing Program Database