Contract Pharmacy Details

FAMILY PHARMACY SOLUTIONS INC
HV00746 Promesa, Inc.

Covered Entity Details

Entity Name

Promesa, Inc.

Subdivision Name

Promesa, Inc.

Type

Ryan White Part C

340B ID

HV00746

Entity Address

1776 Clay Avenue
Bronx, NY 10457

Grant Number

H76HA00746

Participating Start Date

7/1/2018

Last Recertification Date

2/26/2024

Entity Termination Date

4/1/2025

Pharmacy Details

Pharmacy Name

FAMILY PHARMACY SOLUTIONS INC

Pharmacy Address

DBA: SOUTH BRONX FAMILY PHARMACY
890 GARRISON AVE
#B317
BRONX, NY 10474-5332

Pharmacy Comments

Contract Details

Approval Date

1/15/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Raul Russi, Chief Executive Officer
(347) 649-3037

Contract Pharmacy Representative

Family Pharmacy Solutions Inc
Adine Abreu, L.T.C. Coordinator
(718) 764-1002

Signed By Date

1/15/2020

340B Drug Pricing Program Database