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EAST STAR PHARMACY INC
HV020390 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.
Type
Ryan White Part C
340B ID
HV020390
Entity Address
2265 THIRD AVENUE
NEW YORK, NY 10035-2231
Grant Number
H76HA00055
Participating Start Date
10/1/2002
Last Recertification Date
2/16/2021
Entity Termination Date
4/1/2022
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
4/1/2022
Covered Entity Terminated
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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