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THRIFTWAY 10TH AVE. DRUG CORP.
CH02049D William F. Ryan Community Health Center, Inc.
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Covered Entity Details
Entity Name
William F. Ryan Community Health Center, Inc.
Subdivision Name
Ryan Chelsea-Clinton Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH02049D
Entity Address
645 10th Ave
New York, NY 10036-2904
Grant Number
H80CS00061
Participating Start Date
1/1/2004
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
THRIFTWAY 10TH AVE. DRUG CORP.
Pharmacy Address
THRIFTWAY PHARMACY
646 TENTH AVENUE
NEW YORK, NY 10036
Pharmacy Comments
Contract Details
Approval Date
4/23/2009
Contract Begin Date
4/23/2009
Carve-In Effective Date
Contract Comments
4/30/2009- CORRECTED THE PHARMACY ADDRESS (WAS 110, 97THE W. 97TH STREET); 4/29/2009-UPDATED THE COVERED ENTITY AUTH. AND CONTACT PERSON NAME AND PH. NO.
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
2/10/2009
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