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KAMRAN PHARMACY INC
CH021610 MORRIS HEIGHTS HEALTH CENTER INC
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Covered Entity Details
Entity Name
MORRIS HEIGHTS HEALTH CENTER INC
Subdivision Name
MORRIS HEIGHTS HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH021610
Entity Address
85 W Burnside Ave
Bronx, NY 10453-4015
Grant Number
H80CS00472
Participating Start Date
1/1/2000
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
KAMRAN PHARMACY INC
Pharmacy Address
D/B/A FAMILY PHARMACY
1101 FLATBUSH AVE
BROOKLYN, NY 11226-6141
Pharmacy Comments
Contract Details
Approval Date
7/14/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Brandsdorfer, CFO
(917) 594-7281
Contract Pharmacy Representative
Kamran Pharmacy Inc DBA Family Pharmacy
Kamran Mustafa, Manager
(718) 703-2440
Signed By Date
7/14/2021
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