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31ST & 3RD PHARMACY INC
RW4248550 The Albany Damien Center Inc.
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Covered Entity Details
Entity Name
The Albany Damien Center Inc.
Subdivision Name
Type
Ryan White Part D
340B ID
RW4248550
Entity Address
728 Madison Ave
Suite 100
Albany, NY 12208-3302
Grant Number
H12HA24855
Participating Start Date
1/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
31ST & 3RD PHARMACY INC
Pharmacy Address
D/B/A AVITA PHARMACY 1063
1860 WALT WHITMAN RD STE 700
MELVILLE, NY 11747
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Perry Junjulas, Executive Director
(518) 449-7119 Ext: 102
Contract Pharmacy Representative
Paramount SPecialty
Al DosSantos, Founding Principle
(631) 815-5776
Signed By Date
1/15/2020
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