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MEDLY PHARMACY INC.
CH021500 MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH021500
Entity Address
107 W 4th St
Mount Vernon, NY 10550-4002
Grant Number
H80CS00161
Participating Start Date
9/9/2005
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
MEDLY PHARMACY INC.
Pharmacy Address
DBA MEDLY PHARMACY
31 DEBEVOISE ST
BROOKLYN, NY 11206-4196
Pharmacy Comments
Contract Details
Approval Date
1/2/2020
Contract Begin Date
1/2/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/7/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Judith Watson, CEO
(914) 699-7200
Contract Pharmacy Representative
Medly Pharmacy
Jitendra Patel, Pharmacy Director
(718) 782-7539
Signed By Date
1/2/2020
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