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DB MEDICAL SUPPLIES INC
CH02360Z URBAN HEALTH PLAN, INC.
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Covered Entity Details
Entity Name
URBAN HEALTH PLAN, INC.
Subdivision Name
Elmhurst Educational Campus
Type
HRSA-Funded Health Center
340B ID
CH02360Z
Entity Address
4510 94th Street
Elmhurst, NY 11373-2824
Grant Number
H80CS00368
Participating Start Date
7/1/2019
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
DB MEDICAL SUPPLIES INC
Pharmacy Address
D/B/A CARE PHARMACY
979 WESTCHESTER AVE
BRONX, NY 10459
Pharmacy Comments
Contract Details
Approval Date
12/4/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paloma Hernandez, President and CEO
(718) 589-2440 Ext: 4219
Contract Pharmacy Representative
Care Pharmacy
Kris Katragadda, Supervising Pharmacist
(718) 455-5558
Signed By Date
12/4/2019
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