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EAST STAR PHARMACY INC
CH020390 EAST HARLEM COUNCIL FOR HUMAN SERVICES INC
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Covered Entity Details
Entity Name
EAST HARLEM COUNCIL FOR HUMAN SERVICES INC
Subdivision Name
BORIKEN NEIGHBORHOOD HEALTH CTR (EHCHS)
Type
HRSA-Funded Health Center
340B ID
CH020390
Entity Address
2265 3rd Ave
New York, NY 10035-2231
Grant Number
H80CS00060
Participating Start Date
10/1/2002
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
EAST STAR PHARMACY INC
Pharmacy Address
DBA - TAINO PHARMACY
2403 2ND AVE
NEW YORK, NY 10035-2102
Pharmacy Comments
Contract Details
Approval Date
7/15/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
4/1/2019
Contract Comments
Contract Termination Date
Termination Reason
5/15/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ERIKA DONOVAN ESTADES, CHIEF OPERATING OFFICER AND GENERAL COUNSEL
(212) 289-6650 Ext: 208
Contract Pharmacy Representative
Taino Pharmacy
Krishna Chaluvadi, President
(973) 444-5080
Signed By Date
7/15/2017
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