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CVS ALBANY, L.L.C.
CH02049L William F. Ryan Community Health Center, Inc.
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Covered Entity Details
Entity Name
William F. Ryan Community Health Center, Inc.
Subdivision Name
PS 64: The Earth School
Type
HRSA-Funded Health Center
340B ID
CH02049L
Entity Address
600 E 6th St
New York, NY 10009-6851
Grant Number
H80CS00061
Participating Start Date
1/1/2024
Last Recertification Date
2/5/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02360
743 AMSTERDAM AVENUE
NEW YORK, NY 10025
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Scott D. Morgan, Chief Financial Officer
(212) 769-7245
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2024
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