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88TH STREET DRUG CORP
CH02371P INSTITUTE FOR FAMILY HEALTH, THE
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Covered Entity Details
Entity Name
INSTITUTE FOR FAMILY HEALTH, THE
Subdivision Name
GEORGE DALY HOUSE
Type
HRSA-Funded Health Center
340B ID
CH02371P
Entity Address
269 E 4TH ST
NEW YORK, NY 10009-7525
Grant Number
H80CS00768
Participating Start Date
1/1/2002
Last Recertification Date
2/2/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
88TH STREET DRUG CORP
Pharmacy Address
1695 FIRST AVENUE
NEW YORK, NY 10128
Pharmacy Comments
Contract Details
Approval Date
8/10/2006
Contract Begin Date
8/10/2006
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/20/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
8/3/2006
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