340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDPACK LLC
CH021887DA Sunset Park Health Council, Inc.
Print
Covered Entity Details
Entity Name
Sunset Park Health Council, Inc.
Subdivision Name
RAMBAM Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH021887DA
Entity Address
1122 Chestnut Ave
Brooklyn, NY 11230-5844
Grant Number
H80CS07914
Participating Start Date
3/2/2022
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
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