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BOAN DRUGS, INC.
CH02848D DAMIAN FAMILY CARE CENTERS, INC.
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Covered Entity Details
Entity Name
DAMIAN FAMILY CARE CENTERS, INC.
Subdivision Name
Ellenville Health Center
Type
HRSA-Funded Health Center
340B ID
CH02848D
Entity Address
751 BRIGGS HWY
ELLENVILLE, NY 12428-5501
Grant Number
H80CS01765
Participating Start Date
4/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
BOAN DRUGS, INC.
Pharmacy Address
DBA - EMBASSY PHARMACY
1842 AMSTERDAM AVE
NEW YORK, NY 10031
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peter Grisafi, CEO
(718) 657-1100 Ext: 1225
Contract Pharmacy Representative
Boan Drugs, Inc.
Ali Baig, President
(212) 690-1331
Signed By Date
1/15/2025
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