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METROPHARM
CH02139A CHARLES B. WANG COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
CHARLES B. WANG COMMUNITY HEALTH CENTER, INC.
Subdivision Name
CHARLES B. WANG COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH02139A
Entity Address
268 Canal St
New York, NY 10013-3599
Grant Number
H80CS00358
Participating Start Date
7/1/2002
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
METROPHARM
Pharmacy Address
123 WALKER ST
NEW YORK, NY 10013
Pharmacy Comments
Contract Details
Approval Date
2/1/2010
Contract Begin Date
2/1/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
YIU MING WONG, PRESIDENT
(212) 219-8668
Signed By Date
1/19/2010
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