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31ST & 3RD PHARMACY INC.
STD10018 Gay Men's Health Crisis, Inc. (GMHC)
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Covered Entity Details
Entity Name
Gay Men's Health Crisis, Inc. (GMHC)
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD10018
Entity Address
307 W. 38th Street
New York, NY 10018
Grant Number
6NH25PS005177
Participating Start Date
7/1/2021
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
31ST & 3RD PHARMACY INC.
Pharmacy Address
DBA AVITA PHARMACY 1069
307 W 38TH ST STE 5-013
NEW YORK, NY 10018
Pharmacy Comments
Contract Details
Approval Date
7/12/2022
Contract Begin Date
7/14/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kishani C Moreno, Interim CEO and COO
(212) 367-1492
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
7/12/2022
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