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GOLDEN CITY RX LLC
CH02360Q URBAN HEALTH PLAN, INC.
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Covered Entity Details
Entity Name
URBAN HEALTH PLAN, INC.
Subdivision Name
JANE ADAMS VOCATIONAL HS
Type
HRSA-Funded Health Center
340B ID
CH02360Q
Entity Address
900 Tinton Ave
Bronx, NY 10456-7411
Grant Number
H80CS00368
Participating Start Date
10/1/2014
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
GOLDEN CITY RX LLC
Pharmacy Address
ALDUS PHARMACY
998 SOUTHERN BLVD
BRONX, NY 10459
Pharmacy Comments
Contract Details
Approval Date
1/9/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paloma Hernandez, President and CEO
(718) 589-2440 Ext: 4219
Contract Pharmacy Representative
Golden City RX LLC DBA, Aldus Pharmacy
Anna Lin, Owner / Supervising Pharmacist
(718) 316-9090
Signed By Date
1/9/2025
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