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CVS ALBANY, L.L.C.
CH022110 THE ADDABBO JOSEPH P FAMILY HEALTH CENTER INC
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Covered Entity Details
Entity Name
THE ADDABBO JOSEPH P FAMILY HEALTH CENTER INC
Subdivision Name
JOSEPH P. ADDABBO FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH022110
Entity Address
6200 Beach Channel Dr
Arverne, NY 11692-1409
Grant Number
H80CS00430
Participating Start Date
4/1/2003
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03138
206-09 LINDEN BOULEVARD
CAMBRIA HEIGHTS, NY 11411
Pharmacy Comments
Contract Details
Approval Date
5/4/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
miriam Vega, CEO
(718) 945-7150 Ext: 1308
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/4/2023
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