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LACROSS DRUGS, INC.
CH021610 MORRIS HEIGHTS HEALTH CENTER INC
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Covered Entity Details
Entity Name
MORRIS HEIGHTS HEALTH CENTER INC
Subdivision Name
MORRIS HEIGHTS HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH021610
Entity Address
85 W Burnside Ave
Bronx, NY 10453-4015
Grant Number
H80CS00472
Participating Start Date
1/1/2000
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
LACROSS DRUGS, INC.
Pharmacy Address
530 EAST 138TH STREET
BRONX, NY 10454
Pharmacy Comments
Contract Details
Approval Date
1/18/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MIGUEL VASQUEZ, SR MANAGING DIRECTOR OF FINANCE
(646) 418-0667
Contract Pharmacy Representative
LACROSS DRUGS
JONATHAN ALSAN, PRESIDENT
(718) 665-5474
Signed By Date
1/18/2022
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