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LINDENWOOD RX CENTER INC
CH022110 THE ADDABBO JOSEPH P FAMILY HEALTH CENTER INC
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Covered Entity Details
Entity Name
THE ADDABBO JOSEPH P FAMILY HEALTH CENTER INC
Subdivision Name
JOSEPH P. ADDABBO FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH022110
Entity Address
6200 Beach Channel Dr
Arverne, NY 11692-1409
Grant Number
H80CS00430
Participating Start Date
4/1/2003
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
LINDENWOOD RX CENTER INC
Pharmacy Address
LIRX
1380 LORING AVE
C/O PHARMACY
BROOKLYN, NY 11208
Pharmacy Comments
Contract Details
Approval Date
10/11/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Majorie J. Hill, CEO
(718) 945-7150 Ext: 1308
Contract Pharmacy Representative
LIRX
Jitendra Patel, Director Of Pharmacy
(718) 277-0898
Signed By Date
10/11/2016
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