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PHARMACY SPECIALIST GROUP IV, LLC
CHC26191-02 HOUSING WORKS HEALTH SERVICES III, INC.
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Covered Entity Details
Entity Name
HOUSING WORKS HEALTH SERVICES III, INC.
Subdivision Name
Cylar House Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26191-02
Entity Address
743-749 E 9TH ST
NEW YORK, NY 10009-5335
Grant Number
H80CS26191
Participating Start Date
7/1/2015
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
PHARMACY SPECIALIST GROUP IV, LLC
Pharmacy Address
FAITH PHARMACY
326 W 48TH ST
NEW YORK, NY 10036-1314
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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