Contract Pharmacy Details

SALAAM PHARMACY INC.
CHC26191-18 Housing Works Health Services III, Inc.

Covered Entity Details

Entity Name

Housing Works Health Services III, Inc.

Subdivision Name

West 48th Street Health Center

Type

HRSA-Funded Health Center

340B ID

CHC26191-18

Entity Address

326 W 48th St
Fl 1-4
New York, NY 10036-1314

Grant Number

H80CS26191

Participating Start Date

10/1/2023

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

SALAAM PHARMACY INC.

Pharmacy Address

155 CRYSTAL ST
BROOKLYN, NY 11208

Pharmacy Comments

Contract Details

Approval Date

7/20/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/17/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Patricia Troy, SVP, Healthcare Services
(347) 473-7458

Contract Pharmacy Representative

Salaam Pharmacy
Mujjahid Huq, Owner
(718) 484-8157

Signed By Date

7/15/2023

340B Drug Pricing Program Database