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TOWN TOTAL FARMINGDALE LLC
HV10013 APICHA Community Health Center
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Covered Entity Details
Entity Name
APICHA Community Health Center
Subdivision Name
Type
Ryan White Part C
340B ID
HV10013
Entity Address
400 BROADWAY
NEW YORK, NY 10013
Grant Number
H76HA00759
Participating Start Date
4/1/2004
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
TOWN TOTAL FARMINGDALE LLC
Pharmacy Address
D/B/A TOWN TOTAL HEALTH
532 BROADHOLLOW ROAD
SUITE 137
MELVILLE, NY 11747
Pharmacy Comments
Contract Details
Approval Date
4/11/2011
Contract Begin Date
4/11/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/25/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
JOHN P. NAVARRA, PRESIDENT
(631) 386-1212
Signed By Date
4/8/2011
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