340B Drug Pricing Program Database

Pharmacy Name

ELMHURST RX INC

Pharmacy Address

557 E 169TH ST
D/B/A FULTON CARE PHARMACY
BRONX, NY 10456-2625

Pharmacy Comments

Approval Date

10/15/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

VICTOR DEMARCO, CFO
(718) 901-8600

Contract Pharmacy Representative

Elmhurst Rx, Inc.
Imram Kazmi, Chief Executive Officer
(917) 449-0086

Signed By Date

10/15/2020