340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

OVERLAKE PHARMACY, LLC
CH021610 MORRIS HEIGHTS HEALTH CENTER INC

Covered Entity Details

MORRIS HEIGHTS HEALTH CENTER
HRSA-Funded Health Center
CH021610
85 W Burnside Ave
Bronx, NY 10453-4015
H80CS00472
1/1/2000
2/6/2024


Pharmacy Details

4124 148TH AVE NE STE JA
REDMOND, WA 98052

Contract Details

7/15/2022
10/1/2022


Contacts


MIGUEL VASQUEZ, SR MANAGING DIRECTOR OF FINANCE
(646) 418-0667



Overlake Pharmacy LLC
Thao Phan, Pharmacist in Charge
(425) 968-8766
7/15/2022