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TERESA PHARMA LLC
CH021960 BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
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Covered Entity Details
Entity Name
BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
Subdivision Name
BROWNSVILLE MULTI-SERVICE FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH021960
Entity Address
592 Rockaway Ave
Brooklyn, NY 11212-5539
Grant Number
H80CS00589
Participating Start Date
1/1/2004
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
TERESA PHARMA LLC
Pharmacy Address
582 ROCKAWAY AVE
BROOKLYN, NY 11212
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
Harvey Lawrence, President & CEO
(718) 345-5000 Ext: 1123
Contract Pharmacy Representative
TERESA PHARMA LLC
Karan Patel, Owner
(718) 342-3446
Signed By Date
4/15/2024
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