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WATSONS PHARMACY LLC
CH021960 BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
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Covered Entity Details
Entity Name
BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
Subdivision Name
BROWNSVILLE MULTI-SERVICE FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH021960
Entity Address
592 Rockaway Ave
Brooklyn, NY 11212-5539
Grant Number
H80CS00589
Participating Start Date
1/1/2004
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WATSONS PHARMACY LLC
Pharmacy Address
192-21 STATION RD
FLUSHING, NY 11358-2956
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Harvey Lawrence, President & CEO
(718) 345-5000 Ext: 1123
Contract Pharmacy Representative
Jerry Louie, Pharmacist
(718) 359-1188
Signed By Date
1/17/2017
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