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PHARMACY SPECIALIST GROUP III, INC.
CHC26191-04 Housing Works Health Services III, Inc.
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Covered Entity Details
Entity Name
Housing Works Health Services III, Inc.
Subdivision Name
Kingsboro Men's MICA Shelter
Type
HRSA-Funded Health Center
340B ID
CHC26191-04
Entity Address
681 Clarkson Avenue
Brooklyn, NY 11203
Grant Number
H80CS26191
Participating Start Date
1/1/2018
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
PHARMACY SPECIALIST GROUP III, INC.
Pharmacy Address
FAITH PHARMACY
52 WILLOUGHBY ST
BROOKLYN, NY 11201
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
6/15/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patricia Troy, SVP, Healthcare Services
(347) 473-7458
Contract Pharmacy Representative
Pharmacy Specialist Group II Inc
Praveen Challa, Pharmacist
(718) 783-0890
Signed By Date
4/15/2021
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