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DUANE READE
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
DUANE READE
Pharmacy Address
455 WEST 37TH ST
NEW YORK, NY 10018
Pharmacy Comments
11/05/2012 DEA check, name update (was Walgreens #14433)
Contract Details
Approval Date
6/28/2012
Contract Begin Date
6/28/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Teresita R. Rodriguez, Chief Executive Officer
(212) 334-7940
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
6/28/2012
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