Contract Pharmacy Details

DUANE READE
CH021887E SUNSET PARK HEALTH COUNCIL, INC.

Covered Entity Details

Entity Name

SUNSET PARK HEALTH COUNCIL, INC.

Subdivision Name

SHORE ROAD FAMILY HEALTH CENTER at NYU LANGONE

Type

HRSA-Funded Health Center

340B ID

CH021887E

Entity Address

9000 SHORE ROAD
BROOKLYN, NY 11209

Grant Number

H80CS07914

Participating Start Date

1/1/2004

Last Recertification Date

3/2/2018

Entity Termination Date

4/1/2019

Pharmacy Details

Pharmacy Name

DUANE READE

Pharmacy Address

436 86TH STREET
BROOKLYN, NY 11209

Pharmacy Comments

Contract Details

Approval Date

4/10/2009

Contract Begin Date

4/10/2009

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2019
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

3/17/2009

340B Drug Pricing Program Database