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DELIVER MY MEDS CORP.
CHC26191-06 Housing Works Health Services III, Inc.
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Covered Entity Details
Entity Name
Housing Works Health Services III, Inc.
Subdivision Name
125th Street Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26191-06
Entity Address
145 East 125th Street Fl 3-4
New York, NY 10035-2809
Grant Number
H80CS26191
Participating Start Date
7/1/2020
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
DELIVER MY MEDS CORP.
Pharmacy Address
380 OSER AVE
HAUPPAUGE, NY 11788-3608
Pharmacy Comments
Contract Details
Approval Date
4/28/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/18/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Patricia Troy, SVP, Healthcare Services
(347) 473-7458
Contract Pharmacy Representative
Express Health Mart Pharmacy Corp.
SHAHBAZ CHAUDHARY, Owner
(646) 463-2226 Ext: 6313236337
Signed By Date
4/15/2020
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