340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ESTABLISHED DRUGS INC
FQHCLA412 Lasante Health Center, Inc.
Print
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
ESTABLISHED DRUGS INC
Pharmacy Address
D/B/A HEALTH-WISE PHARMACY
1233 NOSTRAND AVE
BROOKLYN, NY 11225
Pharmacy Comments
Contract Details
Approval Date
10/7/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mordechai Heller, COO
(718) 246-5700 Ext: 120
Contract Pharmacy Representative
Established Drugs Inc.
ismat Chaudhary, President
(718) 284-8413
Signed By Date
10/7/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session