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MANHASSET PARK DRUG CORP
CH021980 BROOKLYN PLAZA MEDICAL CENTER
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Covered Entity Details
Entity Name
BROOKLYN PLAZA MEDICAL CENTER
Subdivision Name
BROOKLYN PLAZA MEDICAL CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH021980
Entity Address
650 Fulton St
Brooklyn, NY 11217-1517
Grant Number
H80CS00410
Participating Start Date
9/9/2005
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
MANHASSET PARK DRUG CORP
Pharmacy Address
DBA: ALEGRIA PHARMACY SERVICES
290 PLANDOME RD
MANHASSET, NY 11030
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daniel Desire, Chief Financial Officer
(718) 596-9800 Ext: 226
Contract Pharmacy Representative
Alegria RX
Kevin Askari, President
(929) 463-9707
Signed By Date
10/17/2022
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