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SIGNIO SPECIALTY PHARMACY
FQHCLA412 Lasante Health Center, Inc.
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Covered Entity Details
Entity Name
Lasante Health Center, Inc.
Subdivision Name
Lasante Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA412
Entity Address
672 Parkside Ave
Brooklyn, NY 11226-1506
Grant Number
LALCS31598
Participating Start Date
1/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SIGNIO SPECIALTY PHARMACY
Pharmacy Address
711 ANDERSON AVE
CLIFFSIDE PARK, NJ 07010
Pharmacy Comments
Contract Details
Approval Date
10/7/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Ownership change
Contacts
Covered Entity Signing Official
Mordechai Heller, COO
(718) 246-5700 Ext: 120
Contract Pharmacy Representative
Good Health, Inc
Todd Weber, Director, Government Programs & Strategic Initiatives
(203) 212-4717
Signed By Date
10/2/2020
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