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CRESETTI DRUG CORP
CH021887E SUNSET PARK HEALTH COUNCIL, INC.
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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
CRESETTI DRUG CORP
Pharmacy Address
DBA: NEERGAARD PHARMACY
454 5TH AVE
BROOKLYN, NY 11215-4003
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
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
LARRY MCREYNOLDS, CEO
(718) 630-7216
Contract Pharmacy Representative
Rosemarie Tomassetti, Vice President & Supervising Pharmacist
(718) 768-0600
Signed By Date
1/3/2013
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