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PRXP OF NEW YORK LLC
STD331395 Folx Foundation, Inc.
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Covered Entity Details
Entity Name
Folx Foundation, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD331395
Entity Address
407 Lincoln Road
Suite 6-B
Miami Beach, FL 33139
Grant Number
H25PS005131
Participating Start Date
9/23/2022
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
PRXP OF NEW YORK LLC
Pharmacy Address
DBA BROADWAY FAMILY PHARMACY
601 AMSTERDAM AVE
NEW YORK, NY 10024
Pharmacy Comments
Contract Details
Approval Date
9/23/2022
Contract Begin Date
9/23/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Katie Runnells, Director
(310) 466-0897
Contract Pharmacy Representative
Physicians Rx Pharmacy of Clinton
Chris Wakefield, Manager
(412) 357-5163
Signed By Date
8/31/2022
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