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CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
CH021887Q SUNSET PARK HEALTH COUNCIL, INC.
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Covered Entity Details
Entity Name
SUNSET PARK HEALTH COUNCIL, INC.
Subdivision Name
CALLEN LORDE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH021887Q
Entity Address
356 W 18th St
New York, NY 10011-4401
Grant Number
H80CS07914
Participating Start Date
4/1/2004
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
Pharmacy Address
CAREMARK, LLC
1001 SPINKS ROAD, STE 280
FLOWER MOUND, TX 75028
Pharmacy Comments
Contract Details
Approval Date
1/7/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Larry K. McReynolds, Executive Director
(718) 630-7216
Contract Pharmacy Representative
Caremark
Anne Klis, Vice President
(847) 559-4873
Signed By Date
1/7/2021
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