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V L S PHARMACY INC
CH021887C SUNSET PARK HEALTH COUNCIL, INC.
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Covered Entity Details
Entity Name
SUNSET PARK HEALTH COUNCIL, INC.
Subdivision Name
PARK SLOPE FAMILY HEALTH CENTER at NYU LANGONE
Type
HRSA-Funded Health Center
340B ID
CH021887C
Entity Address
220 - 13TH STREET
BROOKLYN, NY 11215
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
1/11/2013
Contract Begin Date
10/27/2012
Carve-In Effective Date
Contract Comments
01/11/2013 - public health emergency declared in the state of NY effective 10/27/2012
Contract Termination Date
Termination Reason
4/2/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
LARRY MCREYNOLDS, CEO
(718) 630-7216
Contract Pharmacy Representative
VLS Pharmacy, Inc.
Gopesh Patel, Owner
(718) 854-1384
Signed By Date
1/3/2013
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