Contract Pharmacy Details

DELIVER MY MEDS CORP.
CHC26191-04 Housing Works Health Services III, Inc.

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

DELIVER MY MEDS CORP.

Pharmacy Address

380 OSER AVE
HAUPPAUGE, NY 11788-3608

Pharmacy Comments

Contract Details

Approval Date

4/15/2021

Contract Begin Date

6/15/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/18/2022
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Patricia Troy, SVP, Healthcare Services
(347) 473-7458

Contract Pharmacy Representative

Express Health Mart Pharmacy Corp.
SHAHBAZ CHAUDHARY, Owner
(646) 463-2226 Ext: 6313236337

Signed By Date

4/15/2021

340B Drug Pricing Program Database