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RIVER PARK RX LLC
CH020130 HERITAGE HEALTH AND HOUSING, INC.
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Covered Entity Details
Entity Name
HERITAGE HEALTH AND HOUSING, INC.
Subdivision Name
HERITAGE HEALTH AND HOUSING, INC.
Type
HRSA-Funded Health Center
340B ID
CH020130
Entity Address
1727 Amsterdam Ave
New York, NY 10031-4611
Grant Number
H80CS11285
Participating Start Date
1/1/2002
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RIVER PARK RX LLC
Pharmacy Address
RIVER PARK PHARMACY
1818 CEDAR AVE
BRONX, NY 10453
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/10/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Douglas B Blomberg, Chief Financial Officer
(212) 862-0054
Contract Pharmacy Representative
River Park Rx
Bobby Karnam, Manager
(718) 316-0363
Signed By Date
10/15/2019
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