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PHARMACY SPECIALIST GROUP II INC
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
PHARMACY SPECIALIST GROUP II INC
Pharmacy Address
DBA FAITH PHARMACY
743 E 9TH ST
NEW YORK, NY 10009-5335
Pharmacy Comments
Contract Details
Approval Date
4/28/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patricia Troy, SVP, Healthcare Services
(347) 473-7458
Contract Pharmacy Representative
Pharmacy Specialist Group Inc
Satish Gunda, Owner
(212) 234-2050
Signed By Date
4/15/2020
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