Contract Pharmacy Details

METROPHARM
CH021390 CHARLES B. WANG COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

CHARLES B. WANG COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Charles B. Wang Community Health Center, Inc.

Type

HRSA-Funded Health Center

340B ID

CH021390

Entity Address

125 Walker St
New York, NY 10013-4135

Grant Number

H80CS00358

Participating Start Date

12/1/1992

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

METROPHARM

Pharmacy Address

123 WALKER ST
NEW YORK, NY 10013

Pharmacy Comments

Contract Details

Approval Date

2/1/2010

Contract Begin Date

2/1/2010

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

YIU MING WONG, PRESIDENT
(212) 219-8668

Signed By Date

1/19/2010

340B Drug Pricing Program Database