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31ST & 3RD PHARMACY INC.
CH02371BH INSTITUTE FOR FAMILY HEALTH, THE
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Covered Entity Details
Entity Name
INSTITUTE FOR FAMILY HEALTH, THE
Subdivision Name
Ali Forney Center
Type
HRSA-Funded Health Center
340B ID
CH02371BH
Entity Address
321 W 125th St
New York, NY 10027-3637
Grant Number
H80CS00768
Participating Start Date
4/1/2016
Last Recertification Date
2/2/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
31ST & 3RD PHARMACY INC.
Pharmacy Address
DBA AVITA PHARMACY 1069
307 W 38TH ST STE 5-013
NEW YORK, NY 10018
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Caroline DiCioccio, Chief Financial Officer
(212) 633-0800 Ext: 1409
Contract Pharmacy Representative
Avita Pharmacy
Chris Casseri, SVP Sales Acct Mgmt and Marketing
(225) 773-7218
Signed By Date
10/16/2023
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