Contract Pharmacy Details

88TH STREET DRUG CORP
CH02371C INSTITUTE FOR FAMILY HEALTH, THE

Covered Entity Details

Entity Name

INSTITUTE FOR FAMILY HEALTH, THE

Subdivision Name

SIDNEY HILLMAN and PHILLIPS FAMILY PRACTICE

Type

HRSA-Funded Health Center

340B ID

CH02371C

Entity Address

16 EAST 16TH STREET FL 3RD FLOOR
NEW YORK, NY 10003-3105

Grant Number

H80CS00768

Participating Start Date

1/1/2002

Last Recertification Date

2/15/2017

Entity Termination Date

1/1/2018

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

1/29/2016
Ownership change

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

8/3/2006

340B Drug Pricing Program Database