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88TH STREET DRUG CORP
CH02371AF INSTITUTE FOR FAMILY HEALTH, THE
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Covered Entity Details
Entity Name
INSTITUTE FOR FAMILY HEALTH, THE
Subdivision Name
WASHINGTON IRVING SCHOOL BASED HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH02371AF
Entity Address
40 Irving Pl
New York, NY 10003-2305
Grant Number
H80CS00768
Participating Start Date
1/1/2009
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
88TH STREET DRUG CORP
Pharmacy Address
1695 FIRST AVENUE
NEW YORK, NY 10128
Pharmacy Comments
Contract Details
Approval Date
1/1/2009
Contract Begin Date
1/1/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/28/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
12/11/2008
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