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PHARMACY SPECIALIST GROUP II INC
CH0219170 UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTH CARE CENTER
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Covered Entity Details
Entity Name
UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTH CARE CENTER
Subdivision Name
Mobile Health Services
Type
HRSA-Funded Health Center
340B ID
CH0219170
Entity Address
227 E 125th St
New York, NY 10035-1739
Grant Number
H80CS17251
Participating Start Date
7/1/2008
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
PHARMACY SPECIALIST GROUP II INC
Pharmacy Address
DBA FAITH PHARMACY
743 E 9TH ST
NEW YORK, NY 10009-5335
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
Tamisha M McPherson, EXECUTIVE DIRECTOR
(212) 803-2850 Ext: 2444
Contract Pharmacy Representative
Pharmacy Specialist Group II Inc
Praveen Challa, Pharmacist
(718) 783-0890
Signed By Date
1/15/2025
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