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LINDENWOOD RX CENTER INC
CH02161H MORRIS HEIGHTS HEALTH CENTER INC
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Covered Entity Details
Entity Name
MORRIS HEIGHTS HEALTH CENTER INC
Subdivision Name
MORRIS HEIGHTS HC @ ST. ANN'S
Type
HRSA-Funded Health Center
340B ID
CH02161H
Entity Address
625 E 137th St
Bronx, NY 10454-3142
Grant Number
H80CS00472
Participating Start Date
7/1/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
LINDENWOOD RX CENTER INC
Pharmacy Address
LIRX
1380 LORING AVE
C/O PHARMACY
BROOKLYN, NY 11208
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
1/1/2017
Contract Comments
Contacts
Covered Entity Signing Official
VERONA GREENLAND, CEO
(718) 716-4400 Ext: 2323
Contract Pharmacy Representative
LIRX
Jitendra Patel, Director Of Pharmacy
(718) 277-0898
Signed By Date
1/15/2016
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