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UPPER MANHATTAN PHARMA INC
CH020130 HERITAGE HEALTH AND HOUSING, INC.
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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
UPPER MANHATTAN PHARMA INC
Pharmacy Address
DBA-UPPER MANHATTAN PHARMACY
1728 AMSTERDAM AVE
NEW YORK, NY 10031-4604
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
Upper Manhattan Pharmacy
Serif F Edwards, Chief Pharmacist
(212) 694-6666
Signed By Date
4/11/2022
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