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BED-STUY PHARMACY NY LLC
CH022120 Bedford Stuyvesant Family Health Center, Inc., The
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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
BED-STUY PHARMACY NY LLC
Pharmacy Address
DBA: QUICK RX
1458 FULTON ST
BROOKLYN, NY 11216-5365
Pharmacy Comments
Contract Details
Approval Date
4/3/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
12/1/2016
Contract Comments
Contacts
Covered Entity Signing Official
Patricia Fernandez, President/CEO
(718) 636-4500 Ext: 6531
Contract Pharmacy Representative
Elan Katz, VP
(718) 221-4864
Signed By Date
4/3/2014
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