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MEDLY UCHC PHARMACY INC.
CHC28355-01 UNION COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
UNION COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Union Community Health Center #5
Type
HRSA-Funded Health Center
340B ID
CHC28355-01
Entity Address
2101 Quarry Rd
Bronx, NY 10457-1642
Grant Number
H80CS28355
Participating Start Date
4/1/2016
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
MEDLY UCHC PHARMACY INC.
Pharmacy Address
MEDLY PHARMACY
260 E 188TH ST
BRONX, NY 10458
Pharmacy Comments
Contract Details
Approval Date
2/19/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anne Spellman, Chief Operating Officer
(718) 618-8236
Contract Pharmacy Representative
Medly Pharmacy
Jitendra Patel, Pharmacy Director
(718) 782-7539
Signed By Date
2/19/2021
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