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ESTHER PHARMACY INC
CH02150A MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
YONKERS COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH02150A
Entity Address
30 S Broadway
Yonkers, NY 10701-3712
Grant Number
H80CS00161
Participating Start Date
9/9/2005
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
ESTHER PHARMACY INC
Pharmacy Address
71 SOUTH BROADWAY
YONKERS, NY 10701
Pharmacy Comments
Contract Details
Approval Date
12/6/2012
Contract Begin Date
10/27/2012
Carve-In Effective Date
Contract Comments
12/06/2012 - public health emergency declared in the state of NY effective 10/27/2012
Contract Termination Date
Termination Reason
11/1/2022
Ownership change
Contacts
Covered Entity Signing Official
CAROLE MORRIS, CEO
(914) 699-7200 Ext: 600
Contract Pharmacy Representative
Esther Pharmacy
Mathew Samuel, Owner
(914) 965-2661
Signed By Date
11/20/2012
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