Contract Pharmacy Details

CVS ALBANY, L.L.C.
CHC29017-01 Community Health Project, Inc.

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 # 00491
7209 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372

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

340B Drug Pricing Program Database