Contract Pharmacy Details

MARRA'S PHARMA CORP
CH020110 WHITNEY M. YOUNG, JR., HEALTH CENTER, INC.

Covered Entity Details

Entity Name

WHITNEY M. YOUNG, JR., HEALTH CENTER, INC.

Subdivision Name

WHITNEY M. YOUNG, JR. HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH020110

Entity Address

920 Lark Dr
Albany, NY 12207-1300

Grant Number

H80CS00433

Participating Start Date

10/1/1995

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

MARRA'S PHARMA CORP

Pharmacy Address

MARRA'S PHARMACY
217 REMSEN ST
COHOES, NY 12047

Pharmacy Comments

Contract Details

Approval Date

4/15/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/29/2021
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

David Harold Shippee, President & CEO
(518) 591-4459

Contract Pharmacy Representative

Marra's Pharma Corp
Raghu Thota, Manager
(518) 237-2110

Signed By Date

4/15/2021

340B Drug Pricing Program Database