340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PRIME AID PHARMACY CORP.
CH02427F Bronx Community Health Network
Print
Covered Entity Details
Entity Name
Bronx Community Health Network
Subdivision Name
Park Avenue Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH02427F
Entity Address
4196 Park Ave
Bronx, NY 10457-6009
Grant Number
H80CS00626
Participating Start Date
7/1/2019
Last Recertification Date
2/24/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
PRIME AID PHARMACY CORP.
Pharmacy Address
373 E. FORDHAM ROAD
BRONX, NY 10458
Pharmacy Comments
Contract Details
Approval Date
12/13/2012
Contract Begin Date
10/27/2012
Carve-In Effective Date
Contract Comments
12/13/2012 - public health emergency declared in the state of NY effective 10/27/2012
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Pamela Mattel, CEO
(718) 960-7601
Contract Pharmacy Representative
Samuel Khaimov, Owner
(718) 220-2111
Signed By Date
12/13/2012
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session