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CVS ALBANY, L.L.C.
CH021610 MORRIS HEIGHTS HEALTH CENTER INC
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Covered Entity Details
Entity Name
MORRIS HEIGHTS HEALTH CENTER INC
Subdivision Name
MORRIS HEIGHTS HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH021610
Entity Address
85 W Burnside Ave
Bronx, NY 10453-4015
Grant Number
H80CS00472
Participating Start Date
1/1/2000
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02737
115 W. 125TH STREET
NEW YORK, NY 10027
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Crystal D. Jordan, Chief Operating Officer
(718) 483-1270 Ext: 2335
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2020
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