Contract Pharmacy Details

MISHKINS PHARMA LLC
CH020130 HERITAGE HEALTH AND HOUSING, INC.

Covered Entity Details

Entity Name

HERITAGE HEALTH AND HOUSING, INC.

Subdivision Name

HERITAGE HEALTH AND HOUSING, INC.

Type

HRSA-Funded Health Center

340B ID

CH020130

Entity Address

1727 Amsterdam Ave
New York, NY 10031-4611

Grant Number

H80CS11285

Participating Start Date

1/1/2002

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

MISHKINS PHARMA LLC

Pharmacy Address

DBA-MISHKINS PHARMACY
1714 AMSTERDAM AVE
NEW YORK, NY 10031-4602

Pharmacy Comments

Contract Details

Approval Date

4/11/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Danielle F Milano, Chief of Medical Affairs
(917) 767-7271

Contract Pharmacy Representative

Mishkins Pharmacy
Naren Adusumilli, Chief Pharmacist
(212) 926-2801

Signed By Date

4/11/2022

340B Drug Pricing Program Database