Contract Pharmacy Details

FORDHAM ROAD RX INC.
CHC28355-00 UNION COMMUNITY HEALTH CENTER, INC.

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

FORDHAM ROAD RX INC.

Pharmacy Address

FORDHAM ROAD PHARMACY
2 E FORDHAM RD
BRONX, NY 10468-5445

Pharmacy Comments

Contract Details

Approval Date

4/14/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/6/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Anne Spellman, Chief Operating Officer
(718) 618-8236

Contract Pharmacy Representative

Fordham Road RX
Ravi Chenna, President
(718) 364-3333

Signed By Date

4/14/2020

340B Drug Pricing Program Database