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LEROY PHARMACY II LLC
CHC28355-00 UNION COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
UNION COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Union Community Health Center #1
Type
HRSA-Funded Health Center
340B ID
CHC28355-00
Entity Address
260 E 188th St
Bronx, NY 10458-5302
Grant Number
H80CS28355
Participating Start Date
4/1/2016
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
LEROY PHARMACY II LLC
Pharmacy Address
239 E 198TH ST
BRONX, NY 10458-3147
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anne Spellman, Chief Operating Officer
(718) 618-8236
Contract Pharmacy Representative
Leroy Pharmacy
Kalpesh Shah, Owner
(718) 882-5614
Signed By Date
4/14/2020
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