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88TH STREET DRUG CORP
CH02371B INSTITUTE FOR FAMILY HEALTH, THE
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Covered Entity Details
Entity Name
INSTITUTE FOR FAMILY HEALTH, THE
Subdivision Name
EAST 13TH STREET FAMILY PRACTICE
Type
HRSA-Funded Health Center
340B ID
CH02371B
Entity Address
113 E 13th St
New York, NY 10003-5388
Grant Number
H80CS00768
Participating Start Date
1/1/2002
Last Recertification Date
3/3/2015
Entity Termination Date
1/1/2016
Pharmacy Details
Pharmacy Name
88TH STREET DRUG CORP
Pharmacy Address
1695 FIRST AVENUE
NEW YORK, NY 10128
Pharmacy Comments
Contract Details
Approval Date
1/1/2009
Contract Begin Date
1/1/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2016
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
12/11/2009
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