Contract Pharmacy Details

EMNICO RX INC
CHC16639-02 COMMUNITY HEALTH CENTER OF RICHMOND, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTER OF RICHMOND, INC.

Subdivision Name

CHCR - 135 Canal St, 3rd Floor

Type

HRSA-Funded Health Center

340B ID

CHC16639-02

Entity Address

135 CANAL ST
STATEN ISLAND, NY 10304-2059

Grant Number

H80CS16639

Participating Start Date

7/1/2016

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

EMNICO RX INC

Pharmacy Address

DBA: DORADO PHARMACY
1440 FOREST AVE
STORE # 5
STATEN ISLAND, NY 10302

Pharmacy Comments

Contract Details

Approval Date

1/6/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/6/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

HENRY THOMPSON, EXECUTIVE DIRECTOR
(718) 876-2599

Contract Pharmacy Representative

EMNICO RX INC
Don Lee, Pharmacist
(631) 380-3800

Signed By Date

1/6/2022

340B Drug Pricing Program Database