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5TH AVENUE PHARMACY INC
CHC28445-00 COMMUNITY HEALTH INITIATIVES INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH INITIATIVES INC.
Subdivision Name
CHI Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28445-00
Entity Address
1419 Mermaid Ave.
Brooklyn, NY 11224-2770
Grant Number
H80CS28445
Participating Start Date
10/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
5TH AVENUE PHARMACY INC
Pharmacy Address
4818 5TH AVE
BROOKLYN, NY 11220-1122
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/11/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alex Movshovich, Executive Director
(718) 210-3110 Ext: 813
Contract Pharmacy Representative
5th Avenue Pharmacy
Jordan Fogel, Pharmacist
(718) 439-8585
Signed By Date
10/15/2021
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