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CVS ALBANY, L.L.C.
CHC29017-01 Community Health Project, Inc.
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Covered Entity Details
Entity Name
Community Health Project, Inc.
Subdivision Name
Callen-Lorde Brooklyn
Type
HRSA-Funded Health Center
340B ID
CHC29017-01
Entity Address
40 Flatbush Avenue Extension FL 3
Brooklyn, NY 11201-2903
Grant Number
H80CS29017
Participating Start Date
5/22/2020
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02697
3681 BRUCKNER BLVD.
BRONX, NY 10461
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/30/2021
Pharmacy closed
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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