340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PREMIER PHARMACY SERVICES
CH021500 MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH021500
Entity Address
107 W 4th St
Mount Vernon, NY 10550-4002
Grant Number
H80CS00161
Participating Start Date
9/9/2005
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
PREMIER PHARMACY SERVICES
Pharmacy Address
410 CLOVERLEAF DR
BALDWIN PARK, CA 91706
Pharmacy Comments
Contract Details
Approval Date
7/11/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/27/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Opal Dunstan, CHIEF EXECUTIVE OFFICER
(914) 699-7200 Ext: 601
Contract Pharmacy Representative
Good Health, Inc
Todd Weber, Director, Government Programs & Strategic Initiatives
(203) 212-4717
Signed By Date
7/11/2019
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