340B Drug Pricing Program Database

Pharmacy Name

3817 BROADWAY PHARMACY INC

Pharmacy Address

3835 BROADWAY
NEW YORK, NY 10032

Pharmacy Comments

DBA VIM DRUGS according to owner(not shown on DEA license)

Approval Date

11/7/2012

Contract Begin Date

10/27/2012

Carve-In Effective Date

Contract Comments

9/30/14 on 9/29 the CE record was terminated due to eligibility problems. The grantee resolved its eligibility issue on 9/30, so the CE record and CP records are being unterminated; 11/05/2012 - public health emergency declared in the state of NY effective 10/27/2012

Contract Termination Date
Termination Reason

7/28/2022
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

CATHERINE ABATE, PRESIDENT AND CEO
(212) 545-2414

Contract Pharmacy Representative

Rajan Pillay, Manager
(212) 927-0220

Signed By Date

8/28/2012