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88TH STREET DRUG CORP
CH02371V INSTITUTE FOR FAMILY HEALTH, THE
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Covered Entity Details
Entity Name
INSTITUTE FOR FAMILY HEALTH, THE
Subdivision Name
AMSTERDAM CENTER
Type
HRSA-Funded Health Center
340B ID
CH02371V
Entity Address
690 AMSTERDAM AVE
NEW YORK, NY 10025-6901
Grant Number
H80CS00768
Participating Start Date
7/1/2007
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
88TH STREET DRUG CORP
Pharmacy Address
1695 FIRST AVENUE
NEW YORK, NY 10128
Pharmacy Comments
Contract Details
Approval Date
4/7/2008
Contract Begin Date
4/7/2008
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/20/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/21/2008
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