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BRANAC INC
CH0219170 UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTH CARE CENTER
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Covered Entity Details
Entity Name
UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTH CARE CENTER
Subdivision Name
Mobile Health Services
Type
HRSA-Funded Health Center
340B ID
CH0219170
Entity Address
227 E 125th St
New York, NY 10035-1739
Grant Number
H80CS17251
Participating Start Date
7/1/2008
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
BRANAC INC
Pharmacy Address
CONEY ISLAND PHARMACY
2720 MERMAID AVENUE
BROOKLYN, NY 11224-2006
Pharmacy Comments
Contract Details
Approval Date
4/18/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tamisha M McPherson, EXECUTIVE DIRECTOR
(212) 803-2850 Ext: 2444
Contract Pharmacy Representative
Elena Ivanova, Owner
(212) 249-8202
Signed By Date
4/18/2017
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