Contract Pharmacy Details

1413 RX NY LLC
CH022120 Bedford Stuyvesant Family Health Center, Inc., The

Covered Entity Details

Entity Name

Bedford Stuyvesant Family Health Center, Inc., The

Subdivision Name

Bedford Stuyvesant Family Health Center, Inc.

Type

HRSA-Funded Health Center

340B ID

CH022120

Entity Address

1456 Fulton St
Brooklyn, NY 11216

Grant Number

H80CS00510

Participating Start Date

4/1/2004

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

1413 RX NY LLC

Pharmacy Address

DBA: QUICK RX
1456 FULTON ST
BROOKLYN, NY 11216

Pharmacy Comments

10/17/2012 address change (was 1413 FULTON STREET)

Contract Details

Approval Date

11/14/2008

Contract Begin Date

11/14/2008

Carve-In Effective Date

12/1/2016

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

11/13/2008

340B Drug Pricing Program Database