340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HEALTHY CORNER PHARMACY INC
DSH330231 QUEENS HOSPITAL CENTER (NYCHHC)
Print
Covered Entity Details
Entity Name
QUEENS HOSPITAL CENTER (NYCHHC)
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330231
Entity Address
82-68 164TH ST.
JAMAICA, NY 11432
Medicare Provider Number
330231
Participating Start Date
12/1/1992
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
HEALTHY CORNER PHARMACY INC
Pharmacy Address
116-65 QUEENS BLVD
ATTN: SUPERVISING PHARMACIST
FOREST HILLS, NY 11375
Pharmacy Comments
Contract Details
Approval Date
4/3/2013
Contract Begin Date
4/3/2013
Carve-In Effective Date
Contract Comments
04/03/2013 - public health emergency declared in the state of NY effective 10/27/2012
Contract Termination Date
Termination Reason
1/16/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Antonio Martin, Ececutive Vice President & Chief Operating Officier
(212) 788-3479
Contract Pharmacy Representative
Edward Arabov, President/Owner/Pharmacist
(718) 261-6699
Signed By Date
3/26/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session