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CHEM RX PHARMACY SERVICES LLC
CHC26631-01 LA CASA DE SALUD INC.
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Covered Entity Details
Entity Name
LA CASA DE SALUD INC.
Subdivision Name
Ramon Velez Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26631-01
Entity Address
754 E 151ST ST
BRONX, NY 10455-3267
Grant Number
H80CS26631
Participating Start Date
7/1/2017
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
CHEM RX PHARMACY SERVICES LLC
Pharmacy Address
TRADE NAME: PHARMERICA
51 CHARLES LINDBERGH BLVD
UNIONDALE, NY 11553-3658
Pharmacy Comments
Contract Details
Approval Date
7/18/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer Collazo, Executive Director
(718) 299-1100 Ext: 1057
Contract Pharmacy Representative
ChemR/X
Charles Seide, Pharmacist/Owner
(516) 804-7606
Signed By Date
7/18/2019
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