Contract Pharmacy Details

GREENE RX INC
CH02198A BROOKLYN PLAZA MEDICAL CENTER

Covered Entity Details

Entity Name

BROOKLYN PLAZA MEDICAL CENTER

Subdivision Name

BENJAMIN BANNEKER ACADEMY SBH

Type

HRSA-Funded Health Center

340B ID

CH02198A

Entity Address

77 Clinton Ave
Brooklyn, NY 11205-2302

Grant Number

H80CS00410

Participating Start Date

9/9/2005

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

GREENE RX INC

Pharmacy Address

DBA - GREENE COMMUNITY PHARMACY
702 FULTON ST
BROOKLYN, NY 11217

Pharmacy Comments

Contract Details

Approval Date

12/5/2024

Contract Begin Date

12/12/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Daniel Desire, Chief Financial Officer
(718) 596-9800 Ext: 226

Contract Pharmacy Representative

Greene Community Pharmacy
Shivangi Patel, Pharmacy Manager
(978) 758-5849

Signed By Date

12/5/2024

340B Drug Pricing Program Database