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PORT EWEN RX INC.
CH02371AE INSTITUTE FOR FAMILY HEALTH, THE
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Covered Entity Details
Entity Name
INSTITUTE FOR FAMILY HEALTH, THE
Subdivision Name
OB/GYN AND SPECIALTY CARE CENTER OF KINGSTON
Type
HRSA-Funded Health Center
340B ID
CH02371AE
Entity Address
1 Foxhall Ave
Kingston, NY 12401-5107
Grant Number
H80CS00768
Participating Start Date
10/1/2007
Last Recertification Date
2/2/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
PORT EWEN RX INC.
Pharmacy Address
D/B/A PORT EWEN PHARMACY
177 BROADWAY
PORT EWEN, NY 12466
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
Gold Street Pharma Inc.
Ravi K. Chenna, President
(646) 425-4405
Signed By Date
10/16/2023
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