340B Drug Pricing Program Database

Pharmacy Name

HARLEM STAR PHARMACY INC.

Pharmacy Address

DBA HARLEM COMMUNITY PHARMACY
67 W 137TH ST
NEW YORK, NY 10037-1953

Pharmacy Comments

Approval Date

4/8/2013

Contract Begin Date

4/8/2013

Carve-In Effective Date

Contract Comments

04/09/2013 - public health emergency declared in the state of NY effective 10/27/2012

Contract Termination Date
Termination Reason

10/23/2015
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Antonio Martin, Ececutive Vice President & Chief Operating Officier
(212) 788-3479

Contract Pharmacy Representative

Satya Dasari, Owner
(212) 368-7900

Signed By Date

4/8/2013