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Fulton Family Pharmacy, Inc.
CH021980 BROOKLYN PLAZA MEDICAL CENTER
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Covered Entity Details
Entity Name
BROOKLYN PLAZA MEDICAL CENTER
Subdivision Name
BROOKLYN PLAZA MEDICAL CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH021980
Entity Address
650 Fulton St
Brooklyn, NY 11217-1517
Grant Number
H80CS00410
Participating Start Date
9/9/2005
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
Fulton Family Pharmacy, Inc.
Pharmacy Address
668 FULTON STREET
BROOKLYN, NY 11217
Pharmacy Comments
Contract Details
Approval Date
8/13/2010
Contract Begin Date
8/13/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2019
CE terminated due to audit finding
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
8/12/2010
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