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1875 LEXINGTON AVENUE LLC OF NYS
CH02371AD INSTITUTE FOR FAMILY HEALTH, THE
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Covered Entity Details
Entity Name
INSTITUTE FOR FAMILY HEALTH, THE
Subdivision Name
FAMILY PRACTICE CENTER OF HYDE PARK
Type
HRSA-Funded Health Center
340B ID
CH02371AD
Entity Address
11 Crum Elbow Rd
Hyde Park, NY 12538-2852
Grant Number
H80CS00768
Participating Start Date
10/1/2007
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
1875 LEXINGTON AVENUE LLC OF NYS
Pharmacy Address
DBA: QUICKRX
279 MAIN ST STE 103
NEW PALTZ, NY 12561-1624
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Caroline DiCioccio, Chief Financial Officer
(212) 633-0800 Ext: 1409
Contract Pharmacy Representative
Quick Rx Pharmacy Group
Elan Katz, CEO
(917) 733-4301
Signed By Date
10/16/2023
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