Contract Pharmacy Details

CVS ALBANY, L.L.C.
CH021887T SUNSET PARK HEALTH COUNCIL, INC.

Covered Entity Details

Entity Name

SUNSET PARK HEALTH COUNCIL, INC.

Subdivision Name

Callen-Lorde 17th Street

Type

HRSA-Funded Health Center

340B ID

CH021887T

Entity Address

230 W 17TH ST
NEW YORK, NY 10011-5325

Grant Number

H80CS07914

Participating Start Date

7/1/2015

Last Recertification Date

3/6/2025

Entity Termination Date

7/1/2025

Pharmacy Details

Pharmacy Name

CVS ALBANY, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY # 10298
241 WEST 57TH STREET
NEW YORK, NY 10019

Pharmacy Comments

Contract Details

Approval Date

1/7/2021

Contract Begin Date

4/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/30/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Larry K. McReynolds, Executive Director
(718) 630-7216

Contract Pharmacy Representative

CVS Health
Brennan Manning, Pharmacy Enrollment Coordinator
(401) 701-6881

Signed By Date

1/7/2021

340B Drug Pricing Program Database