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FIRST HEALTH SPECIALTY PHARMACY INC.
CHC00064-05 ODA PRIMARY HEALTH CARE CENTER, INC.
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Covered Entity Details
Entity Name
ODA PRIMARY HEALTH CARE CENTER, INC.
Subdivision Name
ODA Quality Health Center
Type
HRSA-Funded Health Center
340B ID
CHC00064-05
Entity Address
432 BEDFORD AVE
BROOKLYN, NY 11249-6588
Grant Number
H80CS00064
Participating Start Date
7/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
FIRST HEALTH SPECIALTY PHARMACY INC.
Pharmacy Address
754 E 151ST ST
BRONX, NY 10455-3267
Pharmacy Comments
Contract Details
Approval Date
7/9/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph Deutsch, Chief Executive Officer
(718) 260-4600 Ext: 301
Contract Pharmacy Representative
First Health Specialty Pharmacy Inc.
Emil Trokel, President
(347) 783-7070
Signed By Date
7/9/2019
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