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CVS ALBANY, L.L.C.
CHC29017-00 COMMUNITY HEALTH PROJECT, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH PROJECT, INC.
Subdivision Name
Callen-Lorde Bronx
Type
HRSA-Funded Health Center
340B ID
CHC29017-00
Entity Address
3144 3RD AVE
BRONX, NY 10451-4629
Grant Number
H80CS29017
Participating Start Date
10/1/2016
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02940
500 W. 42ND ST.
NEW YORK, NY 10036
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
Wendy Stark, Executive Director
(212) 271-7147
Contract Pharmacy Representative
CVS Health
Brennan Manning, Pharmacy Enrollment Coordinator
(401) 701-6881
Signed By Date
7/15/2020
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