340B Drug Pricing Program Database

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HMB PHARMACY MANAGEMENT LLC
DSH330059E MONTEFIORE MEDICAL CENTER

Covered Entity Details

WEST FARMS FAMILY PRACTICE CENTER
Disproportionate Share Hospital
DSH330059E
1055 EAST TREMONT AVE
BRONX, NY 10460
330059
4/1/2005
9/6/2024


Pharmacy Details

DBA METCARE RX#3
1 FORDHAM PLZ
BRONX, NY 10458
5/10/10 ADDR CHANGE (WAS 358-360 EAST 193RD STREET)

Contract Details

1/17/2017
4/1/2017


Contacts


Colleen M. Blye, Executive Vice President-CFO
(718) 920-7602



HMB Pharmacy
RAJ SHAH, President of HMB
(732) 318-9628
1/17/2017