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CRYSTAL DRUGS INC
FQHCLA412 Lasante Health Center, Inc.
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Covered Entity Details
Entity Name
Lasante Health Center, Inc.
Subdivision Name
Lasante Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA412
Entity Address
672 Parkside Ave
Brooklyn, NY 11226-1506
Grant Number
LALCS31598
Participating Start Date
1/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CRYSTAL DRUGS INC
Pharmacy Address
MICHAEL'S PHARMACY
163 LINDEN BLVD
BROOKLYN, NY 11226
Pharmacy Comments
Contract Details
Approval Date
4/13/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mordechai Heller, COO
(718) 246-5700 Ext: 120
Contract Pharmacy Representative
MICHAEL'S PHARMACY
Abubakr Siddique, President
(718) 284-2199
Signed By Date
4/13/2022
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