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V L S PHARMACY INC
CH0218870 SUNSET PARK HEALTH COUNCIL, INC.
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Covered Entity Details
Entity Name
SUNSET PARK HEALTH COUNCIL, INC.
Subdivision Name
Sunset Park Family Health Center at NYU Langone
Type
HRSA-Funded Health Center
340B ID
CH0218870
Entity Address
150 - 55TH STREET
BROOKLYN, NY 11220
Grant Number
H80CS07914
Participating Start Date
10/1/2003
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
V L S PHARMACY INC
Pharmacy Address
4402 5TH AVE
BROOKLYN, NY 11220
Pharmacy Comments
Contract Details
Approval Date
4/11/2011
Contract Begin Date
4/11/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/2/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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