Contract Pharmacy Details

88TH STREET DRUG CORP
CH02371Q INSTITUTE FOR FAMILY HEALTH, THE

Covered Entity Details

Entity Name

INSTITUTE FOR FAMILY HEALTH, THE

Subdivision Name

BROADWAY PRESBYTERIAN CHURCH

Type

HRSA-Funded Health Center

340B ID

CH02371Q

Entity Address

601 W 114th St
New York, NY 10025-7906

Grant Number

H80CS00768

Participating Start Date

1/1/2002

Last Recertification Date

2/27/2025

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

340B Drug Pricing Program Database