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SHRINEETA PHARMACY INC
CH02013A HERITAGE HEALTH AND HOUSING, INC.
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Covered Entity Details
Entity Name
HERITAGE HEALTH AND HOUSING, INC.
Subdivision Name
HERITAGE HEALTH CARE @ PS 192
Type
HRSA-Funded Health Center
340B ID
CH02013A
Entity Address
500 WEST 138TH STREET; RM 123
NEW YORK, NY 10031-7941
Grant Number
H80CS11285
Participating Start Date
4/1/2018
Last Recertification Date
2/2/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
SHRINEETA PHARMACY INC
Pharmacy Address
DBA-AMSTERDAM PHARMACY
1743 AMSTERDAM AVE
NEW YORK, NY 10031-4618
Pharmacy Comments
10/21/2011 Changed address line 1 from 1749 AMSTERDAM AVE (EMG)
Contract Details
Approval Date
10/20/2011
Contract Begin Date
3/6/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2016
Contacts
Covered Entity Signing Official
DEOCHAND NARAIN, CEO, INTERIM
(212) 862-0054
Contract Pharmacy Representative
Apteka Rx
Ratna Ravulapalli, Manager
(212) 234-8850 Ext: 2122347400
Signed By Date
2/23/2009
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