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88TH STREET DRUG CORP
CH02371J INSTITUTE FOR FAMILY HEALTH, THE
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Covered Entity Details
Entity Name
INSTITUTE FOR FAMILY HEALTH, THE
Subdivision Name
THE SENATE
Type
HRSA-Funded Health Center
340B ID
CH02371J
Entity Address
206 W 92ND ST
NEW YORK, NY 10025-7439
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
8/10/2006
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