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L D C PHARMACY CORP
CH024580 PROJECT RENEWAL, INC.
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Covered Entity Details
Entity Name
PROJECT RENEWAL, INC.
Subdivision Name
PROJECT RENEWAL (please note Varick street site is administrative, no patients are seen but the EHB form required we write a number in the blank for hours of operation)
Type
HRSA-Funded Health Center
340B ID
CH024580
Entity Address
200 VARICK STREET FL 9
NEW YORK, NY 10014-4810
Grant Number
H80CS00306
Participating Start Date
10/1/2019
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
L D C PHARMACY CORP
Pharmacy Address
HEALTH CARE PHARMACY
1825 MADISON AVE
NEW YORK, NY 10035-3829
Pharmacy Comments
Contract Details
Approval Date
10/11/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
STEVEN JONES, CFO
(212) 620-0340 Ext: 326
Contract Pharmacy Representative
Signed By Date
10/11/2013
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