Contract Pharmacy Details

MEDLY UCHC PHARMACY INC.
CHC28355-02 UNION COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

UNION COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Union Community Health Center #3

Type

HRSA-Funded Health Center

340B ID

CHC28355-02

Entity Address

1 Fordham Plz
Bronx, NY 10458-5871

Grant Number

H80CS28355

Participating Start Date

4/1/2016

Last Recertification Date

2/4/2021

Entity Termination Date

4/1/2022

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

Contract Termination Date
Termination Reason

4/1/2022
Covered Entity Terminated

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

340B Drug Pricing Program Database