Contract Pharmacy Details

FIRST HEALTH PHARMACY
CH02426A BronxCare Health Integrated Services System, Inc.

Entity Name

BronxCare Health Integrated Services System, Inc.

Subdivision Name

BronxCare Dr. Martin Luther King, Jr. Health Center

Type

HRSA-Funded Health Center

340B ID

CH02426A

Entity Address

1265 Franklin Avenue
BRONX, NY 10456-3501

Grant Number

H80CS00625

Participating Start Date

7/1/2007

Last Recertification Date

1/30/2024

Pharmacy Name

FIRST HEALTH PHARMACY

Pharmacy Address

PGU PHARMACY INC
1229 FRANKLIN AVE
BRONX, NY 10456

Pharmacy Comments

Approval Date

7/11/2017

Contract Begin Date

10/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

LIONEL P. STEWART, EXECUTIVE DIRECTOR
(718) 466-6072

Signed By Date

7/11/2017

Contract Pharmacy Representative

Ravi Rx
Ravi Annamaneni, Pharmacy Owner
(848) 218-3530