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PRAYOSHA PHARMACY CORP
CH021610 MORRIS HEIGHTS HEALTH CENTER INC
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Covered Entity Details
Entity Name
MORRIS HEIGHTS HEALTH CENTER INC
Subdivision Name
MORRIS HEIGHTS HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH021610
Entity Address
85 W Burnside Ave
Bronx, NY 10453-4015
Grant Number
H80CS00472
Participating Start Date
1/1/2000
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
PRAYOSHA PHARMACY CORP
Pharmacy Address
PRAYOSHA PHARMACY CORP
54 EAST 183RD STREET
BRONX, NY 10453-1239
Pharmacy Comments
Contract Details
Approval Date
7/25/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Claudette Phipps, VP Planning and Development
(718) 483-1270 Ext: 2312
Contract Pharmacy Representative
Prayosha Pharmacy
Pankaj Patel, Pharmacist
(718) 220-1900
Signed By Date
7/25/2019
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