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LINDENWOOD RX CENTER INC
HV020020 CARE FOR THE HOMELESS
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Covered Entity Details
Entity Name
CARE FOR THE HOMELESS
Subdivision Name
Type
Ryan White Part C
340B ID
HV020020
Entity Address
30 EAST 33RD STREET
5TH FL
NEW YORK, NY 10016
Grant Number
H76HA00046
Participating Start Date
7/1/1995
Last Recertification Date
2/5/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
LINDENWOOD RX CENTER INC
Pharmacy Address
LIRX
1380 LORING AVE
C/O PHARMACY
BROOKLYN, NY 11208
Pharmacy Comments
Contract Details
Approval Date
1/7/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
BOBBY WATTS, EXECUTIVE DIRECTOR
(212) 366-4459 Ext: 201
Contract Pharmacy Representative
LIRX
Jitendra Patel, Director Of Pharmacy
(718) 277-0898
Signed By Date
1/7/2016
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