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PARK PLAZA PHARMA INC
CH02371F INSTITUTE FOR FAMILY HEALTH, THE
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Covered Entity Details
Entity Name
INSTITUTE FOR FAMILY HEALTH, THE
Subdivision Name
URBAN HORIZONS FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH02371F
Entity Address
50 E 168th St
Bronx, NY 10452-7929
Grant Number
H80CS00768
Participating Start Date
1/1/2002
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
PARK PLAZA PHARMA INC
Pharmacy Address
DBA: PARK PLAZA PHARMACY
1773 UNIVERSITY AVENUE
BRONX, NY 10453-6961
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Caroline DiCioccio, Chief Financial Officer
(212) 633-0800 Ext: 1409
Contract Pharmacy Representative
Park Plaza Pharma Inc.
Amish Patel, Pharmacist and Owner
(718) 583-5900
Signed By Date
10/15/2024
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