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EXPRESS SCRIPTS PHARMACY, INC.
CH021887R SUNSET PARK HEALTH COUNCIL, INC.
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Covered Entity Details
Entity Name
SUNSET PARK HEALTH COUNCIL, INC.
Subdivision Name
WOMEN INFANTS CHILDREN FAMILY HEALTH CENTER at NYU LANGONE
Type
HRSA-Funded Health Center
340B ID
CH021887R
Entity Address
5610 Second Avenue
Brooklyn, NY 11220
Grant Number
H80CS07914
Participating Start Date
10/1/2012
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
EXPRESS SCRIPTS PHARMACY, INC.
Pharmacy Address
DBA EXPRESS SCRIPTS
4750 E. 450 S.
WHITESTOWN, IN 46075
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Larry K. McReynolds, Executive Director
(718) 630-7216
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
4/15/2024
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