340B Drug Pricing Program Database

Pharmacy Name

KINGS THIRD AVE PHARMACY

Pharmacy Address

DBA: KINGS PHARMACY
1619 3RD AVE
NEW YORK, NY 10128-3459

Pharmacy Comments

Approval Date

4/3/2013

Contract Begin Date

4/3/2013

Carve-In Effective Date

Contract Comments

04/03/2013 - public health emergency declared in the state of NY effective 10/27/2012

Contract Termination Date
Termination Reason

8/8/2023
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

Michael Ferri, Owner
(212) 534-6000

Signed By Date

3/26/2013