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1413 RX NY LLC
CH02212F Bedford Stuyvesant Family Health Center, Inc., The
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Covered Entity Details
Entity Name
Bedford Stuyvesant Family Health Center, Inc., The
Subdivision Name
BROADWAY FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH02212F
Entity Address
1238 Broadway
Brooklyn, NY 11221-2906
Grant Number
H80CS00510
Participating Start Date
10/1/2007
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
1413 RX NY LLC
Pharmacy Address
DBA: QUICK RX
1456 FULTON ST
BROOKLYN, NY 11216
Pharmacy Comments
10/17/2012 address change (was 1413 FULTON STREET)
Contract Details
Approval Date
10/17/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
12/1/2016
Contract Comments
Contacts
Covered Entity Signing Official
Patricia Fernandez, President/CEO
(718) 636-4500 Ext: 6531
Contract Pharmacy Representative
Signed By Date
10/17/2016
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