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MIDRAG NINE PHARMACY INC.
CH02150F MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
GREENBURGH HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH02150F
Entity Address
295 Knollwood Rd
White Plains, NY 10607
Grant Number
H80CS00161
Participating Start Date
9/14/2005
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
MIDRAG NINE PHARMACY INC.
Pharmacy Address
DBA: VALUABLE DRUGS
417 TARRYTOWN RD
WHITE PLAINS, NY 10607-1313
Pharmacy Comments
4/13/10 NAME CORRECTION (WAS MADRAG)
Contract Details
Approval Date
9/21/2009
Contract Begin Date
9/21/2009
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CAROLE MORRIS, CEO
(914) 699-7200 Ext: 600
Contract Pharmacy Representative
LAURENCE MIRESSI, PRESIDENT
(914) 948-4141
Signed By Date
9/9/2009
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