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FIRST HEALTH SPECIALTY PHARMACY INC.
CHC26631-02 LA CASA DE SALUD INC.
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Covered Entity Details
Entity Name
LA CASA DE SALUD INC.
Subdivision Name
Casa Maria Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26631-02
Entity Address
324 E 149th Street
Bronx, NY 10451-5602
Grant Number
H80CS26631
Participating Start Date
4/1/2019
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
FIRST HEALTH SPECIALTY PHARMACY INC.
Pharmacy Address
754 E 151ST ST
BRONX, NY 10455-3267
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer Collazo, Executive Director
(718) 299-1100 Ext: 1057
Contract Pharmacy Representative
First Health Specialty Pharmacy Inc.
Emil Trokel, President
(347) 783-7070
Signed By Date
10/15/2019
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