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OVERLAKE PHARMACY, LLC
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
OVERLAKE PHARMACY, LLC
Pharmacy Address
4124 148TH AVE NE STE JA
REDMOND, WA 98052
Pharmacy Comments
Contract Details
Approval Date
7/15/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MIGUEL VASQUEZ, SR MANAGING DIRECTOR OF FINANCE
(646) 418-0667
Contract Pharmacy Representative
Overlake Pharmacy LLC
Thao Phan, Pharmacist in Charge
(425) 968-8766
Signed By Date
7/15/2022
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