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HARLEM RX INC
CH02163G COMMUNITY HEALTHCARE NETWORK, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTHCARE NETWORK, INC.
Subdivision Name
HELEN B. ATKINSON CENTER
Type
HRSA-Funded Health Center
340B ID
CH02163G
Entity Address
81 W 115TH ST
NEW YORK, NY 10026-3138
Grant Number
H80CS00597
Participating Start Date
10/1/2001
Last Recertification Date
2/19/2025
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
11/9/2012
Contract Begin Date
10/27/2012
Carve-In Effective Date
Contract Comments
11/07/2012 - public health emergency declared in the state of NY effective 10/27/2012
Contacts
Covered Entity Signing Official
CATHERINE ABATE, PRESIDENT AND CEO
(212) 545-2414
Contract Pharmacy Representative
Ajantha Bommareddy, Owner
(212) 666-8100
Signed By Date
10/15/2012
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