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MEDPACK LLC
CH021887AA Sunset Park Health Council, Inc.
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Covered Entity Details
Entity Name
Sunset Park Health Council, Inc.
Subdivision Name
Blanche Kahn Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH021887AA
Entity Address
1221 E14th Street
Brooklyn, NY 11230
Grant Number
H80CS07914
Participating Start Date
4/1/2018
Last Recertification Date
2/16/2024
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
MEDPACK LLC
Pharmacy Address
5923 STRICKLAND AVE
BROOKLYN, NY 11234
Pharmacy Comments
Contract Details
Approval Date
4/11/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/7/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Larry K. McReynolds, Executive Director
(718) 630-7216
Contract Pharmacy Representative
MEDPACK LLC
Tisseer Ali, Director of Billing
(347) 506-1000 Ext: 211
Signed By Date
4/11/2023
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